GENESIS MEDICAL CLINIC
NPI 1932436714
Non-Pharmacy Dispensing Site in Buena Park, CA

Q: What is Genesis Medical Clinic's NPI number?

The NPI number for Genesis Medical Clinic is 1932436714. It was assigned to this organization in the NPPES registry on November 16, 2009.

Q: What is Genesis Medical Clinic's specialty?

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

Active since November 16, 2009

6189 LA PALMA AVE, BUENA PARK, CA 90620(714) 522-2891 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Genesis Medical Clinic NPPES

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

GENESIS MEDICAL CLINIC (NPI 1932436714) is a healthcare organization registered as a non-pharmacy dispensing site in Buena Park, California and active in the NPI registry since November 2009. The organization lists Kenny Heine, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1932436714

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameGENESIS MEDICAL CLINIC

Location Address6189 LA PALMA AVEBuena Park, CA 90620-2858

Mailing Address5626 Oberlin Dr, 110San Diego, CA 92121-1705

Phone(714) 522-2891

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Operations · (858) 625-2990

Enumeration DateNovember 16, 2009

Last NPPES UpdateDecember 3, 2014

✔ NPI 1932436714 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 · 11986

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.)

6189 LA PALMA AVE, Buena Park, CA 90620

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Other Providers at the Same Location NPPES 2

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

TKB FOWLER DO INC

Family Medicine

6189 LA PALMA AVE
BUENA PARK, CA 90620

Orange County (714) 522-2891

JULIE PARK PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

6189 LA PALMA AVE
BUENA PARK, CA 90620

Orange County (714) 522-2891

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 Genesis Medical Clinic's NPI number?

The NPI number for Genesis Medical Clinic is 1932436714. It was assigned to this organization in the NPPES registry on November 16, 2009.

Where is Genesis Medical Clinic located?

Genesis Medical Clinic is located at 6189 La Palma Ave, Buena Park, CA 90620. The listed phone number is (714) 522-2891.

What is Genesis Medical Clinic'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 Genesis Medical Clinic was last updated on December 3, 2014. 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.