PROHEALTH PARTNERS A MEDICAL GROUP INC (NPI# 1639613359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639613359 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP INC |
| Practice Address |
2900 Bristol St Ste B203 Costa Mesa CA 92626-5948 |
| Mailing Address |
2900 Bristol St # B203b205 Costa Mesa CA 92626-5981 |
| Practice Telephone | 8558675551 |
| Practice Fax Number | 5625948557 |
| Mailing Telephone | 8558675551 |
| Mailing Fax Number | 9492091981 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | BARRY STEVEN ALLSWANG (PRESIDENT) |
| Authorized Official Telephone | 5622995200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20311 Sw Birch St Ste 100, Newport Beach, CA 926601778 | 9492816149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962956094 | Prohealth Partners A Medical Group Inc | Internal Medicine | 1042 San Bernardino Rd, Upland, CA 91786-4921 | 2016-08-05 |
| 1619321791 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 16300 Sand Canyon Ave Ste 488, Irvine, CA 92618-3711 | 2016-04-14 |
| 1376905406 | Prohealth Partners A Medical Group Inc | Internal Medicine | 685 N 13th Ave Ste 7, Upland, CA 91786-4963 | 2016-03-28 |
| 1366857260 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691-8028 | 2014-06-30 |
| 1326460023 | Prohealth Partners A Medical Group Inc | Internal Medicine | 101 E Beverly Blvd Ste 303, Montebello, CA 90640-4316 | 2014-01-14 |
| 1538292404 | Prohealth Partners A Medical Group Inc | Internal Medicine | 1220 Hemlock Way Ste 204, Santa Ana, CA 92707-3655 | 2007-03-13 |
| 1750816526 | Prohealth Partners A Medical Group Inc | Internal Medicine | 3816 Woodruff Ave Ste 411, Long Beach, CA 90808-2146 | 2017-04-28 |
| 1912432477 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 1 Hoag Dr, Newport Beach, CA 92663 | 2017-04-21 |
| 1356882435 | Prohealth Partners A Medical Group Inc | Obstetrics & Gynecology | 20911 Earl St Ste 180, Torrance, CA 90503-4353 | 2017-03-09 |
| 1992245047 | Prohealth Partners A Medical Group Inc | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2017-03-07 |
| Street Address |
2900 BRISTOL ST STE B203 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437424884 | George Tun | Psychiatry & Neurology | 1503 S Coast Dr Ste 111, Costa Mesa, CA 92626-1526 | 2012-03-19 |
| 1245550573 | Usha Rani Sannidhi Venkata | Psychiatry & Neurology | 1675 Scenic Avenue, Suite 100, Costa Mesa, CA 92626 | 2010-06-09 |
| 1831383207 | Gary Denis Dylewski | Psychiatry & Neurology | 234 East 17th St, Ste 201, Costa Mesa, CA 92627-3855 | 2007-08-29 |
| 1700942117 | Thomas J Grayden | Psychiatry & Neurology | 301 Ave Victoria, Costa Mesa, CA 92627 | 2006-12-29 |
| 1417030222 | Gustavo Alva | Psychiatry & Neurology | 3151 Airway Ave Ste T3, Costa Mesa, CA 92626-4627 | 2006-10-23 |
| 1437163953 | Robert R Johnson | Psychiatry & Neurology | 3150 Bristol St Ste 400, Costa Mesa, CA 92626-3054 | 2006-07-28 |
| 1801816764 | Alejandro Alva | Psychiatry & Neurology | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2006-07-20 |
| 1902860778 | Andrew Inglis | Psychiatry & Neurology | 3115 Red Hill Ave, Costa Mesa, CA 92626-4517 | 2006-04-17 |
| 1649815267 | Brainhealth Solutions, Inc. | Psychiatry & Neurology | 136 Broadway, Costa Mesa, CA 92627-2818 | 2019-11-07 |
| 1376884072 | Gustavo Alva, M.d., A Professional Corporation | Psychiatry & Neurology | 3151 Airway Ave, Suite T3, Costa Mesa, CA 92626-4627 | 2013-03-06 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on PROHEALTH PARTNERS A MEDICAL GROUP INC.
| 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.