MEMORIALCARE MEDICAL GROUP, INC. (NPI# 1346382033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346382033 |
| Entity Type | Organization |
| Organization Name | MEMORIALCARE MEDICAL GROUP, INC. |
| Other Organization Name | MEMORIALCARE MEDICAL GROUP - ANAHEIM |
| Practice Address |
3010 W Orange Ave Suite 302 Anaheim CA 92804-3169 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7148261200 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-06-18 |
| 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 | G57931 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| MemorialCare Medical Group - Anaheim | 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 |
| 1215079298 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-7706 | 2007-02-13 |
| 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 |
| 1194866772 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-02-08 |
| Street Address |
3010 W ORANGE AVE SUITE 302 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826583 | Kamran Haghighat | Internal Medicine | 3010 W Orange Ave, Ste. 302, Anaheim, CA 92804-3169 | 2005-10-26 |
| 1598126591 | Medphaco Inc | Pharmacy | 3010 W Orange Ave, #101, Anaheim, CA 92804-3170 | 2016-03-18 |
| 1255740304 | Huan Nguyen | Pharmacist | 3010 W Orange Ave, Suite 101, Anaheim, CA 92804-3169 | 2014-08-02 |
| 1356756712 | M. Rajudin, M.d., Inc. | Internal Medicine | 3010 W Orange Ave, Suite 404, Anaheim, CA 92804-3169 | 2014-06-24 |
| 1306276704 | William J Kopelman Inc | Clinic/Center | 3010 W Orange Ave, Suite 503, Anaheim, CA 92804-3169 | 2013-11-21 |
| 1831446848 | United Vascular Access Center Corp | Clinic/Center | 3010 W Orange Ave, Suite 500, Anaheim, CA 92804-3169 | 2012-08-08 |
| 1205131448 | Memorialcare Medical Foundation | Internal Medicine | 3010 W Orange Ave, #302, Anaheim, CA 92804-3169 | 2011-01-19 |
| 1073813556 | Hwa Mu Lee, M.d., Inc | Internal Medicine | 3010 W Orange Ave, Suite 103, Anaheim, CA 92804-3170 | 2010-10-29 |
| 1427231463 | Bingbing Zhu | Acupuncturist | 3010 W Orange Ave, Ste 507, Anaheim, CA 92804 | 2007-12-13 |
| 1437338340 | Wayne T Nishigaya, M.d. | Family Medicine | 3010 W Orange Ave, Suite 201, Anaheim, CA 92804-3169 | 2007-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1841616026 | Golden West Medical Corporation | Non-Pharmacy Dispensing Site | 1000 S. Anaheim Blvd., Suite 200, Anaheim, CA 92805-5802 | 2014-03-11 |
| 1497188742 | Angels Baseball Lp | Non-Pharmacy Dispensing Site | 2000 Gene Autry Way, Anaheim, CA 92806 | 2013-08-09 |
| 1093941692 | Lars Hanson Inc | Non-Pharmacy Dispensing Site | 145 S Chaparral Ct Ste And102, Anaheim, CA 92808-2265 | 2009-06-09 |
| 1821171158 | Keiichiro Omori Md | Non-Pharmacy Dispensing Site | 1801 W Romneya Dr Ste 407, Anaheim, CA 92801-1827 | 2006-10-23 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1740534932 | Omar O. Fadeel, Md | Non-Pharmacy Dispensing Site | 3356 W Ball Rd, 100, Anaheim, CA 92804-3702 | 2012-11-09 |
| 1902159718 | Dennis Riff Md Inc Steven Duckor Prof Corp El Al | Non-Pharmacy Dispensing Site | 1211 W La Palma Ave, 306, Anaheim, CA 92801-2815 | 2012-10-17 |
| 1467711424 | Primary & Multi-specialty Clinics of Anaheim | Non-Pharmacy Dispensing Site | 500 S Anaheim Hills Rd, 230, Anaheim, CA 92807-4780 | 2012-05-11 |
| 1831456326 | Nicole Ann Garcia | Non-Pharmacy Dispensing Site | 6200 E Canyon Rim Rd, Suite 105b, Anaheim, CA 92807-4317 | 2012-04-20 |
| 1184996423 | Southern California Electrophysiology Associates | Non-Pharmacy Dispensing Site | 1211 W La Palma Ave, 408, Anaheim, CA 92801-2815 | 2012-02-02 |
| Find all providers in ANAHEIM | ||||
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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.