OrganizationActive
Irvine Internal Medical Group, Inc.
NPI 1124263280 · Non-Pharmacy Dispensing Site · Irvine, CA
Irvine Internal Medical Group, Inc. is a Non-Pharmacy Dispensing Site organization in Irvine, CA (NPI 1124263280).
Provider details
- NPI number
- 1124263280
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- A54819 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4870 Barranca Pkwy
330
Irvine, CA 92604-4709
Phone: (949) 653-5810
Street-level locationGet directions
Mailing address
5810 Nancy Ridge Dr
San Diego, CA 92121-2834
Registry dates
- Enumerated
- 2008-12-03
- Last updated
- 2008-12-03
Frequently asked questions
- What is Irvine Internal Medical Group, Inc.'s NPI number?
- Irvine Internal Medical Group, Inc.'s National Provider Identifier (NPI) is 1124263280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Irvine Internal Medical Group, Inc.?
- Irvine Internal Medical Group, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Irvine Internal Medical Group, Inc. located?
- Irvine Internal Medical Group, Inc.'s practice location on file with NPPES is 4870 Barranca Pkwy, Irvine, CA 92604-4709.
- What is Irvine Internal Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Irvine Internal Medical Group, Inc. is (949) 653-5810.
- Who is the authorized official for Irvine Internal Medical Group, Inc.?
- The authorized official listed on Irvine Internal Medical Group, Inc.'s NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Irvine Internal Medical Group, Inc.'s NPI active?
- Yes — Irvine Internal Medical Group, Inc.'s NPI (1124263280) is active in the NPPES registry as of the last update on 2008-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.