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Heritage Victor Valley Medical Group

Non-Pharmacy Dispensing Site in Victorville, CA · enumerated 2009 · authorized official Kenny Heine, Vp of Operations.

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

National Provider Identifier

1649506759

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Victor Valley Medical Group
Parent organization Medvantx, Inc.
Practice address 12408 Hesperia Rd, #2, Victorville, CA, 92395
Phone (760) 245-4747
Enumeration date Oct 23, 2009
Last updated in NPPES Nov 30, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 54968 (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

Who is the authorized official for Heritage Victor Valley Medical Group?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.
What is the NPI number for Heritage Victor Valley Medical Group?
The NPI for Heritage Victor Valley Medical Group is 1649506759, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-30.