PROHEALTH PARTNERS, A MEDICAL GROUP, INC. (NPI# 1770616401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770616401 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS, A MEDICAL GROUP, INC. |
| Practice Address |
5979 Atlantic Ave Long Beach CA 90805-3510 |
| Mailing Address |
1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 |
| Practice Telephone | 5624230421 |
| Practice Fax Number | 5624231032 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-09-25 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GROUP NUMBER | ZZZ61803Z | 01 |
| CA | GR0064150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952653 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 3772 Katella Ave Ste 107, Los Alamitos, CA 90720-6424 | 2020-02-03 |
| 1962716415 | Prohealth Partners, A Medical Group, Inc. | Otolaryngology | 350 W 5th St, Suite 209, San Pedro, CA 90731-2737 | 2010-07-27 |
| 1114050218 | Prohealth Partners, A Medical Group, Inc. | Family Medicine | 911 E San Antonio Dr Ste 1, Long Beach, CA 90807-2204 | 2007-03-14 |
| 1598898462 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 1760 Termino Ave Ste G18, Long Beach, CA 90804-2169 | 2007-03-13 |
| 1356474852 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 1045 Atlantic Ave Ste 812, Long Beach, CA 90813-3424 | 2007-03-13 |
| 1528191483 | Prohealth Partners, A Medical Group, Inc. | Family Medicine | 1045 Atlantic Ave Ste 1019, Long Beach, CA 90813 | 2007-03-13 |
| 1477685436 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 3939 Atlantic Ave Ste 223, Long Beach, CA 90807-3535 | 2007-03-12 |
| 1588969638 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 4401 Atlantic Ave, Suite 202, Long Beach, CA 90807-2218 | 2011-01-21 |
| 1710201801 | Prohealth Partners, A Medical Group, Inc. | Family Medicine | 3851 Katella Ave, Suite 275, Los Alamitos, CA 90720-3309 | 2010-03-18 |
| 1669709523 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 1777 N Bellflower Blvd, Suite 210, Long Beach, CA 90815-4013 | 2009-11-12 |
| Street Address |
5979 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316051329 | Peter Chau | Family Medicine | 5979 Atlantic Ave, Long Beach, CA 90805-3510 | 2006-08-18 |
| 1598131799 | Osman Nabih Dandan | Physician Assistant | 5979 Atlantic Ave, Long Beach, CA 90805-3510 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852435 | Clnica Uriel / Iradj Nazarian Md | Family Medicine | 1187 E Anaheim St, Long Beach, CA 90813-3662 | 2020-02-05 |
| 1104485887 | Pmd Wellness Center Inc. | Family Medicine | Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 | 2019-06-06 |
| 1699248674 | Central Neighborhood Health Foundat | Family Medicine | 711 E Via Wanda, Long Beach, CA 90805-6526 | 2019-01-02 |
| 1629580337 | Kathleen Legaspi Hoops | Family Medicine | 865 Lees Ave, Long Beach, CA 90815-5024 | 2017-11-02 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1083079289 | Majestic Medical Clinic, Inc. | Family Medicine | 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 | 2015-12-15 |
| 1336522788 | Duc Nguyen | Family Medicine | 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 | 2015-07-02 |
| 1356781132 | Philip Kim | Family Medicine | 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 | 2013-06-26 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1053693275 | Michael James Miech | Family Medicine | 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 | 2011-09-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.