Prohealth Partners a Medical Group Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PROHEALTH PARTNERS A MEDICAL GROUP INC

Practice address

350 W 5TH St
Suite 209
San Pedro, CA 90731-2737

Phone

(310) 521-6386

NPI assigned

Jul 27, 2010

Last updated

Sep 5, 2025By 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, MD

Title

President

Phone

(562) 299-5200

Specialties & licenses 1

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 14

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.

• Hector Castillo, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1659366136
  NPD
• Teal Renee Curry, DNP, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1659977221
  NPD
• Jason William Degraff, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1104562701
  NPD
• Edgar Xavier Guzman-Suarez, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Palmdale, CA
  • NPI 1235526427
  NPD
• Emily Lavi

  • Physician Assistant
  • San Pedro, CA
  • NPI 1356969901
  NPD
• Nalin Mallik, M.D.

  • Pulmonary Disease Physician
  • Covina, CA
  • NPI 1457667495
  NPD
• Julie Ann Oates, CNM

  • Advanced Practice Midwife
  • Redondo Beach, CA
  • NPI 1912538166
  NPD
• Marcus Ottochian, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Duarte, CA
  • NPI 1952614307
  NPD
• Khyati Parekh, PA-C

  • Physician Assistant
  • San Pedro, CA
  • NPI 1649787870
  NPD
• Vishal Patel, M.D.

  • Cardiovascular Disease Physician
  • Long Beach, CA
  • NPI 1326493438
  NPD
• Rajiv Philip, MD

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1063601045
  NPD
• Sarah Grace Soliman, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1528528023
  NPD

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1962716415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST STE 209",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312752",
            "telephone_number": "310-521-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST",
            "address_2": "SUITE 209",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312737",
            "telephone_number": "310-521-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PARTNERS A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "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": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Promoj,Inc (iTime Registry)
• Providence Health System - Southern California
• Providence Health System - Southern California (Providence Little Company of Mary Medical Center San Pedro OBHC)
• Providence Health System - Southern California (Providence Little Company of Mary Sub Acute Care Center)
• Providence Health System - Southern California (Providence Little Company of Mary Medical Center San Pedro)

• Otolaryngology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.