OrganizationActive
Memorialcare Medical Group, Inc.
NPI 1710029368 · Non-Pharmacy Dispensing Site · Aliso Viejo, CA
Memorialcare Medical Group, Inc. is a Non-Pharmacy Dispensing Site organization in Aliso Viejo, CA (NPI 1710029368).
Provider details
- NPI number
- 1710029368
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- A43924 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
15 Mareblu
Suite 100
Aliso Viejo, CA 92656-3015
Phone: (949) 448-0656
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Memorialcare Medical Group - Aliso Viejo
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2013-04-03
Frequently asked questions
- What is Memorialcare Medical Group, Inc.'s NPI number?
- Memorialcare Medical Group, Inc.'s National Provider Identifier (NPI) is 1710029368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorialcare Medical Group, Inc.?
- Memorialcare Medical Group, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Memorialcare Medical Group, Inc. located?
- Memorialcare Medical Group, Inc.'s practice location on file with NPPES is 15 Mareblu, Aliso Viejo, CA 92656-3015.
- What is Memorialcare Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Memorialcare Medical Group, Inc. is (949) 448-0656.
- Who is the authorized official for Memorialcare Medical Group, Inc.?
- The authorized official listed on Memorialcare Medical Group, Inc.'s NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorialcare Medical Group, Inc.'s NPI active?
- Yes — Memorialcare Medical Group, Inc.'s NPI (1710029368) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.