1. Home
  2. Directory
  3. California
  4. Aliso Viejo
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

MEMORIALCARE MEDICAL GROUP - ALISO VIEJO
NPI 1710029368
Non-Pharmacy Dispensing Site in Aliso Viejo, CA

Active since February 12, 2007CLIA 05D0581012 · Microscopy
15 MAREBLU, SUITE 100, ALISO VIEJO, CA 92656(949) 448-0656 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorialcare Medical Group - Aliso Viejo NPPES

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

MEMORIALCARE MEDICAL GROUP - ALISO VIEJO (NPI 1710029368) is a healthcare organization registered as a non-pharmacy dispensing site in Aliso Viejo, 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

NPI1710029368
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address15 MAREBLU, SUITE 100Aliso Viejo, CA 92656-3015
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(949) 448-0656
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateApril 3, 2013
✔ NPI 1710029368 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 · A43924
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.)
15 MAREBLU, Aliso Viejo, CA 92656
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorialcare Medical Group - Aliso Viejo

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) 05D0581012

Memorialcare Medical Group · Laguna Hills, CA
Active · expires Feb 7, 2027
CLIA Number05D0581012
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorStephen Harms
Laboratory Phone(949) 448-0656
Laboratory LocationMemorialcare Medical Group26538 Moulton Parkway Ste E, Laguna Hills, CA 92653
CLIA data matches this NPI record on: 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 20

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

DR. TERENCE R OFFENBERGER MD
Internal Medicine
15 MAREBLU, STE. 100
ALISO VIEJO, CA 92656
Orange County (949) 448-0656
DR. DALJEET SINGH MD
Family Medicine
15 MAREBLU, 100
ALISO VIEJO, CA 92656
Orange County (949) 448-0656
ERNESTINA AVALOS-FIGUEROA DDS. APC
Dentist (General Practice)
15 MAREBLU, SUITE 360
ALISO VIEJO, CA 92656
Orange County (949) 831-5511
DR. CHARLES CHRISTOPHER BAILEY JR. M.D.
Internal Medicine (Infectious Disease)
15 MAREBLU, SUITE 310
ALISO VIEJO, CA 92656
Orange County (949) 448-8861
JUDITH ANN MILLER
Acupuncturist
15 MAREBLU, SUITE 310
ALISO VIEJO, CA 92656
Orange County (949) 215-6437
DR. MICHAEL MOSTOFI D.D.S.
Dentist (General Practice)
15 MAREBLU, STE 360
ALISO VIEJO, CA 92656
Orange County (949) 831-5511
DR. MELANIE M CHAN MD
Pediatrics
15 MAREBLU
ALISO VIEJO, CA 92656
Orange County (949) 448-0656
KAREN H FU MD, INC
Family Medicine
15 MAREBLU, SUITE 310
ALISO VIEJO, CA 92656
Orange County (949) 429-1213

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 1710029368. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Memorialcare Medical Group - Aliso Viejo.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 15 Mareblu Suite 100, Aliso Viejo, CA 92656. The listed phone number is (949) 448-0656.

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 05D0581012) 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 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.