Active NPI
Prohealth Partners a Medical Group
- Family Medicine Physician
- Lakewood, CA
National Provider Identifier
1609222942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROHEALTH PARTNERS A MEDICAL GROUP
- Practice address
- 3300 E South St Ste 305
Lakewood, CA 90805-4595 - Phone
- (562) 421-7292
- NPI assigned
- May 5, 2016
- Last updated
- Jul 22, 2025
- 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, MD
- Title
- President
- Phone
- (562) 299-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3300 E South St Ste 305
Lakewood, CA 90805-4595
Mailing address
3300 E South St Ste 305
Lakewood, CA 90805-4595
Phone (562) 421-7292
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 |
|---|---|---|---|
| 05D2173651 | Prohealth Partners | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
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.
-
- Adult Health Nurse Practitioner
- Los Angeles, CA
- NPI 1417661489
-
- Family Medicine Physician
- Pasadena, CA
- NPI 1952387581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1609222942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST STE 305",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054595",
"telephone_number": "562-421-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST STE 305",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054595",
"telephone_number": "562-421-7292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-05",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "FERRERA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-299-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
- Prep Ed Programs Inc. (P.E.P. Inc.)
- Primary Care Associates of California
- Rose Primus
- Kim Prodger, LCSW
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.