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Memorialcare Medical Group, Inc.

Non-Pharmacy Dispensing Site in Mission Viejo, CA · enumerated 2007 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558403444

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Registry record

Entity type Organization (Type 2)
Legal business name Memorialcare Medical Group, Inc.
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 23512 Madero, Mission Viejo, CA, 92691
Phone (949) 583-1600
Enumeration date Feb 14, 2007
Last updated in NPPES Apr 3, 2013

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License A63616 (CA) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 625-2990

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Memorialcare Medical Group, Inc.?
The NPI for Memorialcare Medical Group, Inc. is 1558403444, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Memorialcare Medical Group, Inc.?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-03.