Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bristol Park Medical Group

Organization Non-Pharmacy Dispensing Site · NPI 1881736445

Bristol Park Medical Group is a Non-Pharmacy Dispensing Site in Costa Mesa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

722 Baker St
Costa Mesa, CA 92626-4320
Phone: (714) 557-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A87971 (CA)

Record details

NPI number1881736445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
Other names Bpmg - Costa Mesa
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMay 29, 2009
Mailing address5810 Nancy Ridge Dr, San Diego, CA 92121-2834

Other providers in Costa Mesa