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Ocean Beach Medical Group

Non-Pharmacy Dispensing Site in San Diego, CA · enumerated 2012 · authorized official Kenny Heine, Sr Director Ops.

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

National Provider Identifier

1699032938

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Registry record

Entity type Organization (Type 2)
Legal business name Ocean Beach Medical Group
Parent organization Medvantx, Inc.
Practice address 1947 Cable St, San Diego, CA, 92107
Phone (619) 223-7164
Enumeration date Apr 11, 2012
Last updated in NPPES Oct 25, 2012

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License G19279 (CA) Primary

Authorized official

Name Kenny Heine
Title Sr Director Ops
Phone (858) 964-1506

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

Where is Ocean Beach Medical Group located?
The practice location on file with NPPES is in San Diego, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-25.