OrganizationActive
Bolsa Medical Group
NPI 1720423833 · Non-Pharmacy Dispensing Site · Westminster, CA
Bolsa Medical Group is a Non-Pharmacy Dispensing Site organization in Westminster, CA (NPI 1720423833).
Provider details
- NPI number
- 1720423833
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc,
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- A70808 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
10362 Bolsa Ave
Suite 110
Westminster, CA 92683-6763
Phone: (714) 531-2091
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Bolsa Medical Group
Registry dates
- Enumerated
- 2013-05-02
- Last updated
- 2013-05-02
Frequently asked questions
- What is Bolsa Medical Group's NPI number?
- Bolsa Medical Group's National Provider Identifier (NPI) is 1720423833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolsa Medical Group?
- Bolsa Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Bolsa Medical Group located?
- Bolsa Medical Group's practice location on file with NPPES is 10362 Bolsa Ave, Westminster, CA 92683-6763.
- What is Bolsa Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Bolsa Medical Group is (714) 531-2091.
- Who is the authorized official for Bolsa Medical Group?
- The authorized official listed on Bolsa Medical Group'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 Bolsa Medical Group's NPI active?
- Yes — Bolsa Medical Group's NPI (1720423833) is active in the NPPES registry as of the last update on 2013-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.