Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Bristol Park Medical Group

Q: What type of organization is Bristol Park Medical Group?

Bristol Park Medical Group is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).

Non-Pharmacy Dispensing Site in Costa Mesa, CA · enumerated 2007 · authorized official Kenny Heine, Director of Operations.

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

National Provider Identifier

1881736445

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Registry record

Entity type Organization (Type 2)

Legal business name Bristol Park Medical Group

Other name <Unavail>

Parent organization Medvantx, Inc.

Practice address 722 Baker St, Costa Mesa, CA, 92626

Phone (714) 557-6300

Enumeration date Feb 12, 2007

Last updated in NPPES May 29, 2009

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License A87971 (CA) Primary

Authorized official

Name Kenny Heine

Title Director 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Bristol Park Medical Group?

Bristol Park Medical Group is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-29.