Proactive Care Professionals, Inc. a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70884 Issued in CA

Legal business name

PROACTIVE CARE PROFESSIONALS, INC. A MEDICAL CORPORATION

Practice address

180 N Oakland Ave
Pasadena, CA 91101-1714

Phone

(626) 355-8595

Fax

(626) 355-8591

NPI assigned

May 25, 2011

Last updated

Sep 12, 2024By 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

Warren BrownNPI 1083776322

Title

Ceo

Phone

(626) 355-8595

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Warren Shelburne Brown III, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1083776322
  Authorized official Same address or phone
• Jenny Y Lai, R.D.

  • Registered Dietitian
  • Sierra Madre, CA
  • NPI 1285044248
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1528351376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD # 397",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434",
            "telephone_number": "626-355-8595",
            "fax_number": "626-355-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011714",
            "telephone_number": "626-355-8595",
            "fax_number": "626-355-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CARE PROFESSIONALS, INC. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-355-8595"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70884",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelle Sybil Prince
• Principles Inc (Dba) Impact Drug & Alcohol Treatment Center (Impact Outpatient)
• Principles Inc (Dba) Impact Drug & Alcohol Treatment Center (Impact)
• Alaina Prior, MT-BC
• Priority Hospice Services, Inc.
• Proactive Physical Therapy Services PC
• Proactive Therapeutical & Wellness Services
• Maxwell Probst
• Amber Rose Prochnik, MA, MFT
• Shelley L Procter, LCSW

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, 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 Sep 12, 2024; 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.