Prohealth Partners a Medical Group

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PROHEALTH PARTNERS A MEDICAL GROUP

Practice address

4101 Torrance Blvd
Torrance, CA 90503

Phone

(562) 299-5200

NPI assigned

May 16, 2012

Last updated

Feb 4, 2026By 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

Peter Ferrera

Title

President

Phone

(562) 299-5200

Specialties & licenses 7

Addresses

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 13

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.

• Julian Choi

  • Internal Medicine Physician
  • Colton, CA
  • NPI 1730506395
  NPD
• Amanda Renee Dupre, DO

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1467913194
  NPD
• Richard David Hernandez, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1275983124
  NPD
• Junko Masutani, PA-C

  • Medical Physician Assistant
  • Pasadena, CA
  • NPI 1275751752
  NPD
• Darlene Mulyanto-Mong

  • Acute Care Nurse Practitioner
  • Orange, CA
  • NPI 1255873717
  NPD
• Leejoe K Pallickal, M.D.

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1346402054
  NPD
• Vimal J Ponnezhan, MD

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1366653354

  Multi-Specialty

  NPD
• Albert J Shin

  • Critical Care Medicine Nurse Practitioner
  • Orange, CA
  • NPI 1558909705

  Multi-Specialty

  NPD
• Eric Quang-Chinh Trieu

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Burbank, CA
  • NPI 1124439047
  NPD
• Ann Kuhlman Williamson, APRN

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1801316765
  NPD
• Kevin Charles, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Gainesville, GA
  • NPI 1649616558

  Pulmonary Disease

  NPD
• Karen Ogboro, NP

  • Acute Care Nurse Practitioner
  • Houston, TX
  • NPI 1649946385

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1649539206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 KATELLA AVE STE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305249",
            "telephone_number": "562-299-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "562-299-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908134424",
            "country_code": "US",
            "telephone_number": "562-491-7935",
            "fax_number": "562-432-7930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "310-900-8090",
            "fax_number": "310-900-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903940",
            "country_code": "US",
            "telephone_number": "626-962-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Verdugo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081407",
            "country_code": "US",
            "telephone_number": "626-307-1043",
            "fax_number": "626-307-1044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 South St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121419",
            "country_code": "US",
            "telephone_number": "626-307-1043",
            "fax_number": "626-307-1044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 Brookshire Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414917",
            "country_code": "US",
            "telephone_number": "562-299-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-933-8743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-933-5020",
            "fax_number": "562-933-5023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054809",
            "country_code": "US",
            "telephone_number": "855-475-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133321",
            "country_code": "US",
            "telephone_number": "562-491-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055002",
            "country_code": "US",
            "telephone_number": "562-299-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153010",
            "country_code": "US",
            "telephone_number": "213-748-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "310-900-8900",
            "fax_number": "310-638-8615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.