Pioneer Provider Network

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIONEER PROVIDER NETWORK

Practice address

4909 Lakewood Blvd
200
Lakewood, CA 90712-2405

Phone

(560) 602-1563

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Eng

Title

Provider Relations Manager

Phone

(562) 602-1563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528260643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD",
            "address_2": "200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD",
            "address_2": "200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122405",
            "telephone_number": "560-602-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "562-602-1563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Phillips
• Phlebmax Laboratory Services
• Pih Health Physicians
• Isela Pina Monroy
• Carlos Pena Pineda III, DPT
• Planned Parenthood Los Angeles - Lakewood Center
• Planned Parenthood Los Angeles-Lakewood Center Basic
• Caitlin Pol
• Andrea Polo Alcantara
• Ashley Ponce

• Family Medicine Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.