Active NPI
Prohealth Partners a Medical Group Inc
- Internal Medicine Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PROHEALTH PARTNERS A MEDICAL GROUP INC
- Practice address
- 9400 Brighton Way Ste 210
Beverly Hills, CA 90210-4709 - Phone
- (310) 362-1255
- NPI assigned
- Nov 25, 2020
- Last updated
- Apr 19, 2024
- 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
- Title
- Ceo
- Phone
- (562) 299-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
9400 Brighton Way Ste 210
Beverly Hills, CA 90210-4709
Mailing address
9400 Brighton Way Ste 210
Beverly Hills, CA 90210-4709
Phone (310) 362-1255
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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2309441 | Prohealth Partners a Medical Group Inc | Certificate of waiver | Aug 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Prohealth Partners a Me
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1023680279
-
- Orthopaedic Surgery Physician
- Anaheim, CA
- NPI 1093300741
-
- Orthopaedic Surgery Physician
- Paramount, CA
- NPI 1245825900
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1386211209
-
- Obstetrics & Gynecology Physician
- Torrance, CA
- NPI 1407989379
-
- Cardiovascular Disease Physician
- Torrance, CA
- NPI 1427480987
-
- Orthopaedic Surgery Physician
- Santa Ana, CA
- NPI 1457948218
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1497296404
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1093848509
-
- Rheumatology Physician
- Los Alamitos, CA
- NPI 1285086843
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1326460023
-
- Obstetrics & Gynecology Physician
- Torrance, CA
- NPI 1356882435
Locations
250 N Robertson Blvd
Ste 106
Beverly Hills, CA 90211
Phone (310) 919-4179
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Huntington Beach, CA
- NPI 1861146045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1396349759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY STE 210",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104709",
"telephone_number": "310-362-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY STE 210",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104709",
"telephone_number": "310-362-1255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "FERRERA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "CEO",
"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": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.