OrganizationActive
Mercy Medical Group
NPI 1073829636 · Non-Pharmacy Dispensing Site · Cameron Park, CA
Mercy Medical Group is a Non-Pharmacy Dispensing Site organization in Cameron Park, CA (NPI 1073829636).
Provider details
- NPI number
- 1073829636
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Sr. Director Operations(858) 625-2990
- License
- G64540 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3427 Robin Ln
100
Cameron Park, CA 95682-7254
Phone: (530) 676-7337
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Mercy Medical Group - Cameron Park, a Service of Chw
Registry dates
- Enumerated
- 2010-08-20
- Last updated
- 2012-10-23
Frequently asked questions
- What is Mercy Medical Group's NPI number?
- Mercy Medical Group's National Provider Identifier (NPI) is 1073829636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mercy Medical Group?
- Mercy Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Mercy Medical Group located?
- Mercy Medical Group's practice location on file with NPPES is 3427 Robin Ln, Cameron Park, CA 95682-7254.
- What is Mercy Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Mercy Medical Group is (530) 676-7337.
- Who is the authorized official for Mercy Medical Group?
- The authorized official listed on Mercy Medical Group's NPPES record is Kenny Heine, Sr. Director Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mercy Medical Group's NPI active?
- Yes — Mercy Medical Group's NPI (1073829636) is active in the NPPES registry as of the last update on 2012-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.