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

Memorialcare Medical Group, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1578605135

Memorialcare Medical Group, Inc is a Non-Pharmacy Dispensing Site in Santa Ana, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1212 W 17th St
Santa Ana, CA 92706-3418
Phone: (714) 954-0432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A44130 (CA)

Record details

NPI number1578605135
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Memorialcare Medical Group - Santa Ana
NPI enumeratedFebruary 12, 2007
Last updated in NPPESApril 3, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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