PROSPECT HEALTH PLAN, INC.


Address: 10780 Santa Monica Blvd, Suite 400, Los Angeles, CA 90025-4749
Phone: 3109434500

PROSPECT HEALTH PLAN, INC. (NPI# 1235502360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235502360
Entity Type Organization
Organization Name PROSPECT HEALTH PLAN, INC.
Practice Address 10780 Santa Monica Blvd
Suite 400
Los Angeles
CA 90025-4749
Practice Telephone 3109434500
Mailing Telephone 3109434500
Enumeration Date 2015-11-11
Last Update Date 2015-11-11
Authorized Official Name ELLEN SHIN (SECRETARY)
Authorized Official Telephone 3109434500
Is Organization Subpart Y
Parent Organization Name PHP HOLDINGS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization Managed Care Organizations

Office Location

Street Address 10780 SANTA MONICA BLVD
SUITE 400
City LOS ANGELES
State CA
Zip Code 90025-4749

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NPI Name Taxonomy Address Enumeration
1275596694 Renal Treatment Centers-california, Inc Clinic/Center 10780 Santa Monica Blvd, Ste 480, Los Angeles, CA 90025-4749 2006-04-07
1215583208 Afsoun Delshad Speech-Language Pathologist 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 2019-08-14
1295388619 Macy Morikawa Speech-Language Pathologist 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 2019-07-24
1457890576 Veronica Christiana Cleary Marriage & Family Therapist 10780 Santa Monica Blvd, Suite #260, Los Angeles, CA 90025-4749 2017-02-22
1164979803 Neil Ghodadra M.d. Inc Orthopaedic Surgery 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 2016-09-09
1710432372 Hallie Schiff Physical Therapist 10780 Santa Monica Blvd, Suite 405, Los Angeles, CA 90025-4749 2016-08-23
1609235324 Megan Auster-rosen Psychologist 10780 Santa Monica Blvd, 105, Los Angeles, CA 90025-4749 2016-02-23
1306219845 Orthohealing Center Association A Ca General Partnership Physical Medicine & Rehabilitation 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 2015-11-05
1790156271 Camden Physicians Grou, Inc. Psychologist 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 2015-10-09
1215323902 Claudia Lewis Marriage & Family Therapist 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 2015-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1245852599 Maureen Bridget Mcglynn Marriage & Family Therapist 1531 Purdue Avenue, Los Angeles, CA 90025 2020-05-09
1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1386104875 Kevin Meir Youssefzadeh Student in an Organized Health Care Education/Training Program 304 Dowlen Dr, Los Angeles, CA 90025 2019-03-21
1336609189 Psychotherapy Center for Healing and Personal Growth Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
1457834285 Yeesul Yoo Chiropractor 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 2018-09-07
1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
1033603378 Craig Allen Gillett Marriage & Family Therapist 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 2018-06-20
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

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1386012391 Cardinal Care Hospice Inc Health Maintenance Organization 1110 N Western Ave Ste 204, Los Angeles, CA 90029-1087 2015-09-08
1578961892 L.a. Care Health Maintenance Organization 1055 W 7th St Fl 10, Los Angeles, CA 90017-2750 2014-12-18
1336548189 Amanecer Community Counseling Service, A Non-profit Corporation Health Maintenance Organization 1200 Wilshire Blvd 200, 210, Suite 300, Los Angeles, CA 90017-1934 2014-08-18
1699196378 Altamed Health Services Health Maintenance Organization 2040 Camfield Ave., Los Angeles, CA 90040 2013-12-23
1093148652 Mary Lou Rane Phd Health Maintenance Organization 10332 Eastborne Ave, Los Angeles, CA 90024-5350 2013-08-17
1760721708 Dinooshmee Daewar Health Maintenance Organization 2008 N Las Palmas Ave, Los Angeles, CA 90068-3243 2013-02-12
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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