Proprius Health Medical Group PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A110631 Issued in CA

Legal business name

PROPRIUS HEALTH MEDICAL GROUP PC

Practice address

3939 Atlantic Ave Ste 223
Long Beach, CA 90807

Phone

(562) 583-9345

Fax

(949) 502-8887

NPI assigned

Jul 10, 2012

Last updated

Aug 28, 2025By 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

Andrei N Dokukin, MDNPI 1770715575

Title

President

Phone

(917) 647-5031

Specialties & licenses 1

Addresses

Other identifiers 6

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 6

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.

• Andrei N Dokukin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Long Beach, CA
  • NPI 1770715575
  Medicare reassignment NPD Authorized official
• Michael Zabala Aquino, DPT

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1184192361
  Medicare reassignment NPD
• Mozhgan Ashtari, M.D.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1558691451
  Medicare reassignment NPD
• Agatha Chinyere Osuji

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1932663630
  Medicare reassignment NPD
• Narinder Singh, MD

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1841867439
  Medicare reassignment NPD
• Richard Alfonso Licon, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1740428101
  Medicare reassignment

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1447515911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 223",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-583-9345",
            "fax_number": "495-028-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 223",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-583-9345",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPRIUS HEALTH MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DOKUKIN",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-647-5031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A110631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE CORPORATION NUMBER",
            "identifier": "C3423023",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CLINICAL LAB REGISTRATION",
            "identifier": "CLR00343337",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA GROUP PROVIDER NUMBER",
            "identifier": "ZZZ70684Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL BOARD- FICTITIOUS NAME PERMIT",
            "identifier": "43221",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF LONG BEACH BUSINESS LICENSE",
            "identifier": "BU21223680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVED CERTIFICATE",
            "identifier": "05D2048806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.