Prohealth Partners a Medical Group Inc
Organization Active NPI Internal Medicine Physician · Los Alamitos, CA
NPI 1962783704 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1962783704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PROHEALTH PARTNERS A MEDICAL GROUP INC
- Practice address
- 3801 Katella Ave
Suite 300
Los Alamitos, CA 90720-3338 - Phone
- (562) 299-5200
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Peter Ferrera, MD
- Title
- President
- Phone
- (562) 299-5200
Corporate family (same tax ID) 16
Practitioners 4
-
Seper Dezfoli, M.D.
-
Araceli Jimenez, FNP-C
-
Young Soon Yang, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
3801 Katella Ave
Suite 300
Los Alamitos, CA 90720-3338
Mailing address
3801 Katella Ave Ste 300
Los Alamitos, CA 90720-3372
Phone (562) 430-6472
Other providers in Los Alamitos, CA
- Prohealth Partners a Medical Group Inc
- Prohealth Partners a Medical Group Inc
- Prohealth Partners a Medical Group Inc
- Prohealth Partners a Medical Group Inc
- Prohealth Partners a Medical Group Inc
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
- Promed DME, Inc.
All providers in Los Alamitos, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.