OrganizationActive
Bristol Park Medical Group
NPI 1881736445 · Non-Pharmacy Dispensing Site · Costa Mesa, CA
Bristol Park Medical Group is a Non-Pharmacy Dispensing Site organization in Costa Mesa, CA (NPI 1881736445).
Provider details
- NPI number
- 1881736445
- 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
- A87971 (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
722 Baker St
Costa Mesa, CA 92626-4320
Phone: (714) 557-6300
Street-level locationGet directions
Mailing address
5810 Nancy Ridge Dr
San Diego, CA 92121-2834
Other names (DBA / former)
- Doing business as
- Bpmg - Costa Mesa
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2009-05-29
Frequently asked questions
- What is Bristol Park Medical Group's NPI number?
- Bristol Park Medical Group's National Provider Identifier (NPI) is 1881736445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bristol Park Medical Group?
- Bristol Park Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Bristol Park Medical Group located?
- Bristol Park Medical Group's practice location on file with NPPES is 722 Baker St, Costa Mesa, CA 92626-4320.
- What is Bristol Park Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Bristol Park Medical Group is (714) 557-6300.
- Who is the authorized official for Bristol Park Medical Group?
- The authorized official listed on Bristol Park Medical Group'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 Bristol Park Medical Group's NPI active?
- Yes — Bristol Park Medical Group's NPI (1881736445) is active in the NPPES registry as of the last update on 2009-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.