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Prohealth Partners a Medical Group Inc

Organization Active NPI Internal Medicine Physician · Los Alamitos, CA

NPI 1841622016 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1841622016
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
PROHEALTH PARTNERS A MEDICAL GROUP INC
Practice address
3851 Katella Ave Ste 205
Los Alamitos, CA 90720-3433
Phone
(562) 794-2776
NPI assigned
Jul 30, 2013
Organization subpart
No

Authorized official

Name
Peter Ferrera, MD
Title
President
Phone
(562) 299-5200

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031211000927 CA Part B Supplier - Clinic/Group Practice 2769388412 Receives reassigned benefits from 296 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Prohealth Partners a M (63 organizations share this tax ID)

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: 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)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

3851 Katella Ave Ste 205
Los Alamitos, CA 90720-3433

Mailing address

3851 Katella Ave Ste 205
Los Alamitos, CA 90720-3433
Phone (714) 794-2776

Other providers in Los Alamitos, CA

All providers in Los Alamitos, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.