MEMORIALCARE MEDICAL GROUP, INC. (NPI# 1215079298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215079298 |
| Entity Type | Organization |
| Organization Name | MEMORIALCARE MEDICAL GROUP, INC. |
| Other Organization Name | MEMORIALCARE MEDICAL GROUP - IRVINE - YALE LOOP |
| Practice Address |
4050 Barranca Pkwy Suite 200 Irvine CA 92604-7706 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 9495511090 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G21256 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| MemorialCare Medical Group - Irvine - Yale Loop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558403444 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 23512 Madero, Mission Viejo, CA 92691-2743 | 2007-02-14 |
| 1710029368 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15 Mareblu, Suite 100, Aliso Viejo, CA 92656-3015 | 2007-02-12 |
| 1528100187 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 31001 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675 | 2007-02-12 |
| 1578605135 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2007-02-12 |
| 1912049578 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 | 2007-02-12 |
| 1346382033 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3010 W Orange Ave, Suite 302, Anaheim, CA 92804-3169 | 2007-02-12 |
| 1194866772 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-02-08 |
| Street Address |
4050 BARRANCA PKWY SUITE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403667 | Gunjan Bhatnagar | Obstetrics & Gynecology | 4050 Barranca Pkwy, #210, Irvine, CA 92604-7706 | 2005-08-03 |
| 1093112609 | Hossein Alimadadian Md Inc | Internal Medicine | 4050 Barranca Pkwy, Suite 110, Irvine, CA 92604-7706 | 2014-11-25 |
| 1083047955 | Wave Imaging, LLC | Clinic/Center | 4050 Barranca Pkwy, Suite 160, Irvine, CA 92604-7706 | 2013-08-15 |
| 1154673390 | Pars Pharmacy, Inc. | Pharmacy | 4050 Barranca Pkwy, Suite 150, Irvine, CA 92604-7706 | 2012-10-12 |
| 1750641874 | Jason Alan Dugan | Internal Medicine | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-7706 | 2012-05-22 |
| 1538428842 | Hamideh Falsafi | Naturopath | 4050 Barranca Pkwy, Suite 265, Irvine, CA 92604-7706 | 2012-05-07 |
| 1902173362 | Betty Chen | Dentist | 4050 Barranca Pkwy, Suite 220, Irvine, CA 92604-7706 | 2011-11-29 |
| 1356582183 | Samy Younis Md, Inc. | Internal Medicine | 4050 Barranca Pkwy, Suite 240, Irvine, CA 92604-7706 | 2009-03-06 |
| 1902069578 | Fredric D. Balguma | Family Medicine | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-7706 | 2008-07-03 |
| 1609048396 | Robila Ashfaq | Family Medicine | 4050 Barranca Pkwy, Ste 265, Irvine, CA 92604-7706 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306384375 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 | 2017-02-09 |
| 1396283453 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 57 Prism, Irvine, CA 92618-3148 | 2017-02-08 |
| 1427596212 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 | 2017-02-01 |
| 1306384185 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 4 Park Plz, Suite 150, Irvine, CA 92614-8560 | 2017-02-01 |
| 1306383427 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 52 Discovery, Irvine, CA 92618-3105 | 2017-01-26 |
| 1003284258 | South Coast Medical Center for New Medicine, Inc. | Non-Pharmacy Dispensing Site | 6 Hughes Ste 100, Irvine, CA 92618-2060 | 2015-09-04 |
| 1568702835 | Irvine Professional Medical Group, Inc | Non-Pharmacy Dispensing Site | 3500 Barranca Pkwy, Suite 330, Irvine, CA 92606-8226 | 2013-02-25 |
| 1992057897 | Artisan Foot and Ankle Specialist, Inc | Non-Pharmacy Dispensing Site | 22 Odyssey, Irvine, CA 92618-3186 | 2012-10-03 |
| 1932474780 | Edward A. Balbas, PC | Non-Pharmacy Dispensing Site | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2012-03-13 |
| 1114299948 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 | 2012-02-09 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.