Prohealth Partners, a Medical Group, Inc.

Key facts

NPI

1962535849

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

Practice address

3325 Palo Verde Ave Ste 105-106
Long Beach, CA 90808-4132

Phone

(562) 344-7777

NPI assigned

Mar 13, 2007

Organization subpart

No

Authorized official

Name

Barry Allswang, MD

Title

President

Phone

(562) 299-5200

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rekeeshella J Elder Marriage & Family Therapist · Long Beach, CA · NPI 1952195125
  NPD
• Chioma Onyejekwe, DNP Family Nurse Practitioner · Torrance, CA · NPI 1548701535
  NPD
• Adriana Westby Trent Clinical Psychologist · Long Beach, CA · NPI 1518081942
  NPD MULTI-SPECIALTY
• Nathan Yee, M.D. Pulmonary Disease Physician · Torrance, CA · NPI 1982021424
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2023.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1962535849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE STE 105-106",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE STE 105-106",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-344-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ALLSWANG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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