PROHEALTH PARTNERS A MEDICAL GROUP (NPI# 1922495076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922495076 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP |
| Other Organization Name | CLINICA SANTA CLARA MEDICAL CLINIC |
| Practice Address |
7643 Atlantic Ave Cudahy CA 90201 |
| Mailing Address |
7643 Atlantic Ave Cudahy CA 90201-5019 |
| Practice Telephone | 3237711713 |
| Practice Fax Number | 3235621302 |
| Mailing Telephone | 3237711713 |
| Mailing Fax Number | 3235621302 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-01-29 |
| 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 |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica Santa Clara Medical Clinic | Doing Business As Name - Organization |
| 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 |
7643 ATLANTIC AVE |
| City | CUDAHY |
| State | CA |
| Zip Code | 90201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378418 | Edgar Gonzalez | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201 | 2006-06-26 |
| 1720525793 | City Rx Inc | Pharmacy | 7643 Atlantic Ave, Suite A, Cudahy, CA 90201-5019 | 2017-01-27 |
| 1295168250 | Clinica Santa Clara A Medical Corporation | Non-Pharmacy Dispensing Site | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2013-08-14 |
| 1639325178 | Oscar Galindo | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-1704 | 2008-08-15 |
| 1316161664 | Leticia Keusayan Gonzalez | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-04-11 |
| 1417076845 | Clinica Santa Clara | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-03-28 |
| 1811042203 | Roberto Der Boghosian Dds A Professional Dental Corporation | Dentist | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-01-24 |
| 1659307981 | Clinica Santa Clara | Family Medicine | 7643 Atlantic Ave, Cudahy, CA 90201 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| 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 |
|---|---|---|---|---|
| 1407942311 | Jose N Prieto | Family Medicine | 4566 Florence Ave Ste 2, Cudahy, CA 90201-4346 | 2006-10-05 |
| 1043235153 | Nikki Allen | Family Medicine | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 | 2006-07-12 |
| 1306208392 | Julie Navarro | Family Medicine | 7825 Atlantic Ave, Cudahy, CA 90201 | 2016-03-28 |
| 1740546829 | Fatima Ali | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2012-04-03 |
| 1932491842 | Sharareh Shabafrooz | Family Medicine | 6901 Atlantic Ave, Cudahy, CA 90201-3646 | 2011-05-11 |
| 1255647889 | Paola A Case | Family Medicine | 7825 Atlantic Ave, Cudahy, CA 90201-5022 | 2010-08-20 |
| 1558435123 | Stephen C Lamberton | Family Medicine | 5900 S. Lake Drive, Lakeshore Medical Clinic, Cudahy, WI 53110-3171 | 2006-11-17 |
| 1801974399 | Dexter R Rebancos | Family Medicine | 5900 S. Lake Drive, Cudahy, WI 53110-3171 | 2006-11-01 |
| 1518045038 | Rebecca L Scerpella | Family Medicine | 5900 S. Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110-3171 | 2006-11-01 |
| 1316025844 | Sacha Ramirez | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2006-11-01 |
| Find all providers in CUDAHY | ||||
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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.