OrganizationActive
Genesis Medical Clinic
NPI 1932436714 · Non-Pharmacy Dispensing Site · Buena Park, CA
Genesis Medical Clinic is a Non-Pharmacy Dispensing Site organization in Buena Park, CA (NPI 1932436714).
Provider details
- NPI number
- 1932436714
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp Operations(858) 625-2990
- License
- 11986 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
6189 La Palma Ave
Buena Park, CA 90620-2858
Phone: (714) 522-2891
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2009-11-16
- Last updated
- 2014-12-03
Frequently asked questions
- What is Genesis Medical Clinic's NPI number?
- Genesis Medical Clinic's National Provider Identifier (NPI) is 1932436714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Medical Clinic?
- Genesis Medical Clinic is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Genesis Medical Clinic located?
- Genesis Medical Clinic's practice location on file with NPPES is 6189 La Palma Ave, Buena Park, CA 90620-2858.
- What is Genesis Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Genesis Medical Clinic is (714) 522-2891.
- Who is the authorized official for Genesis Medical Clinic?
- The authorized official listed on Genesis Medical Clinic's NPPES record is Kenny Heine, Vp Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Medical Clinic's NPI active?
- Yes — Genesis Medical Clinic's NPI (1932436714) is active in the NPPES registry as of the last update on 2014-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.