Active NPI
Prohealth Partners, a Medical Group, Inc.
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1215060199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
- Practice address
- 3325 Palo Verde Ave Ste 203
Long Beach, CA 90808-4132 - Phone
- (562) 377-1111
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Otolaryngology Physician | 207Y00000X |
Addresses
Primary practice location
3325 Palo Verde Ave Ste 203
Long Beach, CA 90808-4132
Mailing address
3325 Palo Verde Ave Ste 203
Long Beach, CA 90808-4132
Phone (562) 377-1111
Other practice location 1
3325 Palo Verde Ave Ste 204
Long Beach, CA 90808-4132
Phone (562) 661-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0064157 | Medicaid | CA | |
| ZZZ47113Z | Other | CA | BLUE SHIELD GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031211000927 | CA | Part B Supplier - Clinic/Group Practice | 2769388412 |
Receives reassigned benefits from 296 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Torrance, CA
- NPI 1811967433
-
- Gerontology Nurse Practitioner
- Carson, CA
- NPI 1871208009
-
- Pediatric Urology Physician
- Orange, CA
- NPI 1851529242
-
- Interventional Pain Medicine Physician
- Los Alamitos, CA
- NPI 1972042620
-
- Medical Physician Assistant
- Tustin, CA
- NPI 1306555941
-
- Gastroenterology Physician
- Long Beach, CA
- NPI 1891934832
-
- Hospitalist Physician
- Harbor City, CA
- NPI 1679149876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1215060199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 PALO VERDE AVE STE 203",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084132",
"telephone_number": "562-377-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 PALO VERDE AVE STE 203",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084132",
"telephone_number": "562-377-1111"
}
],
"practiceLocations": [
{
"address_1": "3325 Palo Verde Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908084132",
"country_code": "US",
"telephone_number": "562-661-8999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROHEALTH PARTNERS, A MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"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": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0064157",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "ZZZ47113Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- 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.
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.