Prohealth Partners a Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PROHEALTH PARTNERS A MEDICAL GROUP

Practice address

3742 Katella Ave Ste 303
Los Alamitos, CA 90720-3172

Phone

(562) 296-8050

NPI assigned

Mar 9, 2017

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry S Allswang, MD

Title

President

Phone

(562) 299-5200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thien-Kim Nguyen Co, DO

  • Nephrology Physician
  • Los Alamitos, CA
  • NPI 1033732953
  NPD
• Kyaw Moe, MD

  • Nephrology Physician
  • Lakewood, CA
  • NPI 1083649735
  NPD
• Mauricio J. Heilbron Jr., M.D.

  • Trauma Surgery Physician
  • Long Beach, CA
  • NPI 1386732915
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1154862241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE STE 303",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE STE 303",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203172",
            "telephone_number": "562-296-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ALLSWANG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primavera Counseling Licensed Clinical Social Worker Corporation
• Elizabeth Jane Prince, PHARMD
• Jason Lynn Prince
• Gary Dean Prins, DDS
• Priti R Sahgal MD (Prit R Sahgal MD)
• 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

• Surgery Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.