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MEMORIALCARE MEDICAL GROUP - SAN JUAN CAPISTRANO
NPI 1528100187
Non-Pharmacy Dispensing Site in San Juan Capistrano, CA

Active since February 12, 2007CLIA 05D0881923 · Microscopy
31001 RANCHO VIEJO RD, SUITE 200, SAN JUAN CAPISTRANO, CA 92675(949) 661-9600 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memorialcare Medical Group - San Juan Capistrano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIALCARE MEDICAL GROUP - SAN JUAN CAPISTRANO (NPI 1528100187) is a healthcare organization registered as a non-pharmacy dispensing site in San Juan Capistrano, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through February 7, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1528100187
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address31001 RANCHO VIEJO RD, SUITE 200San Juan Capistrano, CA 92675
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(949) 661-9600
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJune 30, 2015
✔ NPI 1528100187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A38178
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
31001 RANCHO VIEJO RD, San Juan Capistrano, CA 92675
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Other Names 1

Doing Business AsMemorialcare Medical Group - San Juan Capistrano

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0881923

Memorialcare Medical Group · San Juan Capistrano, CA
Active · expires Feb 7, 2027
CLIA Number05D0881923
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorMimi Trinh
Laboratory Phone(949) 661-9600
Laboratory LocationMemorialcare Medical Group31001 Rancho Viejo Road Ste 200, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIMI TRINH MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611
DR. INCHEL YEAM M.D.
Internal Medicine (Pulmonary Disease)
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9600
DR. SCOTT GREENSPAN MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611
DR. DAVID GONZALEZ MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611
DR. JAMES H ASHIZAWA MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611
DR. GEORGE KARAPETIAN MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611
DR. CRAIG P ALBERT MD
Family Medicine
31001 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-9611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorialcare Medical Group, Inc.'s NPI number?

The NPI number for Memorialcare Medical Group, Inc. is 1528100187. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Memorialcare Medical Group - San Juan Capistrano.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 31001 Rancho Viejo Rd Suite 200, San Juan Capistrano, CA 92675. The listed phone number is (949) 661-9600.

What is Memorialcare Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Memorialcare Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0881923) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorialcare Medical Group, Inc. was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.