PIONEER MEDICAL GROUP, INC.
NPI 1932226941
Non-Pharmacy Dispensing Site in Cerritos, CA

Active since March 23, 2007CLIA 05D0984513 · Waiver
16510 BLOOMFIELD AVE, CERRITOS, CA 90703(562) 229-0902 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pioneer Medical Group, Inc. NPPES

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

PIONEER MEDICAL GROUP, INC. (NPI 1932226941) is a healthcare organization registered as a non-pharmacy dispensing site in Cerritos, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1932226941
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePIONEER MEDICAL GROUP, INC.
Location Address16510 BLOOMFIELD AVECerritos, CA 90703-2115
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateMarch 23, 2007
Last NPPES UpdateOctober 22, 2012
NPI 1932226941 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 · A42053
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.)
16510 BLOOMFIELD AVE, Cerritos, CA 90703

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 of Waiver 05D0984513

Pioneer Medical Group Cerritos · Cerritos, CA
Active · expires Mar 21, 2027
CLIA Number05D0984513
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorEmerico Csepanyi MD
Laboratory Phone(562) 224-6902
Laboratory LocationPioneer Medical Group Cerritos16510 Bloomfield Avenue, Cerritos, CA 90703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Pediatrics
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Internal Medicine
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Nurse Practitioner (Family)
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Family Medicine
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Family Medicine
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Clinic/Center (Multi-Specialty)
16510 BLOOMFIELD AVE
CERRITOS, CA 90703
Nurse Practitioner (Family)
16510 BLOOMFIELD AVE
CERRITOS, CA 90703

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 Pioneer Medical Group, Inc.'s NPI number?

The NPI number for Pioneer Medical Group, Inc. is 1932226941. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Pioneer Medical Group, Inc. located?

Pioneer Medical Group, Inc. is located at 16510 Bloomfield Ave, Cerritos, CA 90703. The listed phone number is (562) 229-0902.

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

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

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

Yes. A Certificate of Waiver (number 05D0984513) is associated with this NPI, valid through March 21, 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 Pioneer Medical Group, Inc. was last updated on October 22, 2012. 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.