Prohealth Partners a Medical Group Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PROHEALTH PARTNERS A MEDICAL GROUP INC

Practice address

2801 Atlantic Ave
Long Beach, CA 90806-1701

Phone

(562) 299-5239

NPI assigned

Jan 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Ferrera, MD

Title

President

Phone

(562) 299-5200

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon G Adler, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1467431122
  NPD
• Alireza Alam, M.D.

  • Pediatric Urology Physician
  • Long Beach, CA
  • NPI 1851717151

  Pediatric Urology

  NPD
• Christine Marie Betzold, FNP

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1942284906
  NPD
• Venu Divi, M.D.

  • Otolaryngology Physician
  • San Pedro, CA
  • NPI 1245390228
  NPD
• Ali M. Etemadian, D.O.

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1316041718

  Internal Medicine

  NPD
• Gamal M. Ghoniem, M.D.

  • Urology Physician
  • Orange, CA
  • NPI 1467415919

  Urology

  NPD
• Anne Hurley, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Orange, CA
  • NPI 1972304145
  NPD
• Mansurur R. Khan, MD

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1326196312

  Internal Medicine

  NPD
• Anum Syed

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1659752954

  Hospitalist

  NPD
• Yvonne Tyson, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1881617868
  NPD
• Danielle Marie Villatoro, NP

  • Women's Health Nurse Practitioner
  • Los Alamitos, CA
  • NPI 1023560885
  NPD
• Kim Renee West, NP

  • Acute Care Nurse Practitioner
  • Long Beach, CA
  • NPI 1861748774
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1104215151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 KATELLA AVE STE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305249",
            "telephone_number": "562-299-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-299-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062701",
            "country_code": "US",
            "telephone_number": "714-377-6993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061740",
            "country_code": "US",
            "telephone_number": "562-933-1820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2888 Long Beach Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908067500",
            "country_code": "US",
            "telephone_number": "562-933-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2888 Long Beach Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061552",
            "country_code": "US",
            "telephone_number": "562-933-0590",
            "fax_number": "562-933-0593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Long Beach Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061558",
            "country_code": "US",
            "telephone_number": "562-933-1877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 Elm Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061647",
            "country_code": "US",
            "telephone_number": "562-933-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "FERRERA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc

• All providers in Long Beach, CA
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.