Organization Active NPI

Continuum Health Medical Group LLC

  • Family Medicine Physician
  • Lakewood, CA
National Provider Identifier
1811843501
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CONTINUUM HEALTH MEDICAL GROUP LLC
Practice address
11821 Centralia St
Lakewood, CA 90715-1433
Phone
(559) 728-4474
Fax
(559) 603-2798
NPI assigned
Mar 6, 2026
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Paul FortalezaNPI 1336368190
Title
Practice Owner
Phone
(559) 728-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11821 Centralia St
Lakewood, CA 90715-1433

Mailing address

11821 Centralia St
Lakewood, CA 90715-1433
Phone (559) 728-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260602002292 CA Part B Supplier - Clinic/Group Practice 3779054630 Receives reassigned benefits from 1 practitioner
Practice locations: Artesia, CA

National Provider Directory

National Provider Directory

Locations

11821 Centralia St
Lakewood, CA 90715

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1811843501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 CENTRALIA ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151433",
            "telephone_number": "559-728-4474",
            "fax_number": "559-603-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 CENTRALIA ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151433",
            "telephone_number": "559-728-4474",
            "fax_number": "559-603-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "FORTALEZA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "559-728-4474"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.