MEMORIALCARE MEDICAL GROUP - MADERO
NPI 1558403444
Non-Pharmacy Dispensing Site in Mission Viejo, CA

Active since February 14, 2007
23512 MADERO, MISSION VIEJO, CA 92691(949) 583-1600 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memorialcare Medical Group - Madero NPPES

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

MEMORIALCARE MEDICAL GROUP - MADERO (NPI 1558403444) is a healthcare organization registered as a non-pharmacy dispensing site in Mission Viejo, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1558403444
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address23512 MADEROMission Viejo, CA 92691-2743
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 14, 2007
Last NPPES UpdateApril 3, 2013
NPI 1558403444 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 · A63616
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.)
23512 MADERO, Mission Viejo, CA 92691

Other Names 1

Doing Business AsMemorialcare Medical Group - Madero

Other Providers at the Same Location NPPES 15

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

Physician Assistant
23512 MADERO
MISSION VIEJO, CA 92691
Family Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Nurse Practitioner (Family)
23512 MADERO
MISSION VIEJO, CA 92691
Family Medicine
23512 MADERO, MEMORIALCARE MEDICAL GROUP
MISSION VIEJO, CA 92691
Internal Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Family Medicine (Sports Medicine)
23512 MADERO
MISSION VIEJO, CA 92691
Nurse Practitioner (Family)
23512 MADERO
MISSION VIEJO, CA 92691
Internal Medicine
23512 MADERO
MISSION VIEJO, CA 92691

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 1558403444. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Memorialcare Medical Group - Madero.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 23512 Madero, Mission Viejo, CA 92691. The listed phone number is (949) 583-1600.

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

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

When was this NPI record last updated?

The NPPES record for Memorialcare Medical Group, Inc. was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.