PROHEALTH PARTNERS A MEDICAL GROUP (NPI# 1730212432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212432 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP |
| Practice Address |
2777 Pacific Ave Ste E Long Beach CA 90806-2626 |
| Practice Telephone | 5624266571 |
| Practice Fax Number | 5625958695 |
| Mailing Telephone | 5624266571 |
| Mailing Fax Number | 5625958695 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | ROBERT LUGLIANI (PRESIDENT) |
| Authorized Official Telephone | 5624919281 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006415U | 05 | |
| CA | BLUE SHIELD GROUP NUMBER | ZZZ01663Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1154862241 | Prohealth Partners A Medical Group | Surgery | 3791 Katella Ave Ste 107, Los Alamitos, CA 90720-2000 | 2017-03-09 |
| 1639614076 | Prohealth Partners A Medical Group | Internal Medicine | 23517 Main St Ste 108, Carson, CA 90745-5239 | 2016-12-20 |
| 1215481940 | Prohealth Partners A Medical Group | Obstetrics & Gynecology | 14150 Culver Dr Ste 206, Irvine, CA 92604-0323 | 2016-08-10 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1881007524 | Prohealth Partners A Medical Group | Internal Medicine | 150 S Robertson Blvd, Suite 150, Beverly Hills, CA 90211-2171 | 2014-06-10 |
| 1841622016 | Prohealth Partners A Medical Group | Family Medicine | 23181 La Cadena Dr Ste 101, Laguna Hills, CA 92653-1479 | 2013-07-30 |
| 1033341680 | Prohealth Partners A Medical Group | Physician Assistant | 925 E San Antonio Dr Ste 18, Long Beach, CA 90807 | 2009-08-17 |
| Street Address |
2777 PACIFIC AVE STE E |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104331735 | Tiffany Lynn Mcvey | Nurse Practitioner | 2777 Pacific Ave Ste E, Long Beach, CA 90806-2626 | 2017-12-05 |
| 1477915452 | Jan Nguyen | Internal Medicine | 2777 Pacific Ave Ste E, Long Beach, CA 90806-2626 | 2016-03-28 |
| 1336517457 | Natalya Ptashinsky | Internal Medicine | 2777 Pacific Ave Ste E, Long Beach, CA 90806-2626 | 2015-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1679102248 | Revitalize Life Center A PC | Internal Medicine | 3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529 | 2020-04-06 |
| 1144864992 | Jonathan Nguyen Medical Clinic Inc | Internal Medicine | 555 E Pacific Coast Hwy Ste 102, Long Beach, CA 90806-5579 | 2019-11-05 |
| 1497251060 | Tak Lun Lau | Internal Medicine | 1101 El Mirador Ave, Long Beach, CA 90815-4422 | 2018-04-03 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1174972012 | Diego Ivan Kriger | Internal Medicine | 3816 Woodruff Ave Ste 412, Long Beach, CA 90808-2146 | 2016-06-10 |
| 1437537644 | Samaritana Medical Clinic Long Beach Inc | Internal Medicine | 1052 Atlantic Ave, Long Beach, CA 90813-3403 | 2015-05-08 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1700200938 | Neil H Caplan | Internal Medicine | 27 W Penn St, Long Beach, NY 11561-4003 | 2014-02-07 |
| 1093157596 | Concepcion A Enriquez | Internal Medicine | 3377 Long Beach Blvd, Long Beach, CA 90807-4408 | 2013-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| 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.