Prohealth Partners, a Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

Practice address

1045 Atlantic Ave Ste 812
Long Beach, CA 90813-3424

Phone

(562) 435-5353

Fax

(562) 491-5404

NPI assigned

Mar 13, 2007

Last updated

May 29, 2019By 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 Steven Allswang

Title

President

Phone

(562) 299-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Loida Constantino, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1487767604
  NPD
• Kelsey San Miguel Lor

  • Nurse Practitioner
  • Chino, CA
  • NPI 1023847365
  NPD
• Vannarith So, MD, MPH

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1659416584
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1356474852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043328",
            "telephone_number": "562-299-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 812",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133424",
            "telephone_number": "562-435-5353",
            "fax_number": "562-491-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "ALLSWANG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-5200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Prohealth Partners, a Medical Group, Inc.

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.