PROHEALTH PARTNERS A MEDICAL GROUP INC (NPI# 1912432477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912432477 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP INC |
| Practice Address |
1 Hoag Dr Newport Beach CA 92663 |
| Mailing Address |
5150 E Pacific Coast Hwy Suite 500 Long Beach CA 90804-3312 |
| Practice Telephone | 5622995239 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | BARRY S ALLSWANG (PRESIDENT) |
| Authorized Official Telephone | 5622995200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639613359 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 2900 Bristol St Ste B203, Costa Mesa, CA 92626-5948 | 2016-12-14 |
| 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 |
| 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 |
1 HOAG DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536443 | Peter Giuliano | Radiology | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2005-05-23 |
| 1952908147 | Steven Kirin | Physical Therapist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-10-01 |
| 1548878242 | Laura Le | Registered Nurse | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-07-19 |
| 1023636727 | Capella Tong | Dietitian, Registered | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-07-08 |
| 1710502976 | Andy Vo | Pharmacy | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-06-13 |
| 1811512098 | Norela Vanessa Park | Pharmacist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-06-12 |
| 1063035640 | Nancy Chang | Pharmacist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-05-18 |
| 1053933739 | Jaime Lu Hui | Pharmacist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-05-15 |
| 1205458577 | Daria Joanna Kusior | Pharmacist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-05-10 |
| 1396365185 | Oanh Trinh | Pharmacist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728831 | Ginger Hulst | Family Medicine | 1419 Superior Ave Ste 1, Newport Beach, CA 92663-2723 | 2017-02-08 |
| 1154479525 | Peter John Muran | Family Medicine | 1601 Dove St Ste 170, Newport Beach, CA 92660-1421 | 2007-01-08 |
| 1336659127 | Newport Specialist Inc | Family Medicine | 1419 Superior Ave Ste 1, Newport Beach, CA 92663-2723 | 2017-10-05 |
| 1821013285 | Steven R Ey | Family Medicine | One Hoag Drive, Newport Beach, CA 92658-6100 | 2006-07-13 |
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|---|---|---|---|---|
| 1194332726 | True North Detox LLC | Family Medicine | 2413 Whitmore Ave, Clovis, CA 93619-9252 | 2020-09-28 |
| 1639717473 | Michael Stone Md Inc | Family Medicine | 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 | 2019-12-11 |
| 1720624497 | Marina Harbor Detox | Family Medicine | 289 Marina Blvd, San Francisco, CA 94123-1212 | 2019-11-18 |
| 1093363848 | Anthony Martin Ocana | Family Medicine | 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 | 2019-08-26 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1952809592 | Sunrise Health & Wellness Center, LLC | Family Medicine | 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 | 2018-01-29 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.