Steven J Lake (NPI# 1669494001, PAC ID# 4486799145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669494001 |
| PAC ID by PECOS | 4486799145 |
| Professional Enrollment ID | I20100305000088 |
| Full Name | Steven J Lake |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Address |
911 E San Antonio Dr Long Beach CA 90807-2204 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769388412 |
| Number of Group Practice Members | 205 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 911 E San Antonio Dr, Long Beach, CA 90807-2204 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Oberhart | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Tiffany Lynn Mcvey | Nurse Practitioner | Prohealth Partners, A Medical Group | 2777 Pacific Ave, Suite E, Long Beach, CA 90806-2626 |
| Samir Samarany | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 685 N 13th Ave, Suite 9, Upland, CA 91786-4963 |
| Leticia K Gonzalez | Physician Assistant | Prohealth Partners, A Medical Group | 7643 Atlantic Ave, Cudahy, CA 90201-5019 |
| Corinne Kaveny | Physician Assistant | Prohealth Partners, A Medical Group | 1045 Atlantic Ave, Suite 1019, Long Beach, CA 90813-3413 |
| Carol Veneracion-godoy | Physician Assistant | Prohealth Partners, A Medical Group | 711 E Rosecrans Ave, Compton, CA 90221-2143 |
| Tina M Allee | Psychiatry | Prohealth Partners, A Medical Group | 2900 Bristol St, B203b205, Costa Mesa, CA 92626-5981 |
| Mona M Shah | General Surgery | Prohealth Partners, A Medical Group | 3628 E Imperial Hwy 202, Lynwood, CA 90262-2600 |
| Sabeen Munib | Family Medicine | Prohealth Partners, A Medical Group | 23181 La Cadena Dr, Suite 101, Laguna Hills, CA 92653-1479 |
| Nayna A Paryani | Nurse Practitioner | Prohealth Partners, A Medical Group | 1868 Pacific Ave, Long Beach, CA 90806-6113 |
| Street Address |
911 E SAN ANTONIO DR |
| City | LONG BEACH |
| State | CA |
| Zip | 90807-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo Ibarra | Internal Medicine | Prohealth Partners, A Medical Group | 911 E San Antonio Dr, Long Beach, CA 90807-2204 |
| Karen T Dix | Family Medicine | Prohealth Partners, A Medical Group | 911 E San Antonio Dr, Suite 1, Long Beach, CA 90807-2204 |
| Ifeoma S Izuchukwu | Internal Medicine | 911 E San Antonio Dr, Suite 3, Long Beach, CA 90807-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Gasperini | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2008 |
| Michael L Roh | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2008 |
| Fox Morgan Boswell Ii | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2008 |
| Stephen E Brown | Sleep Medicine | 4300 Long Beach Blvd, Suite 405, Long Beach, CA 90807-2008 | |
| Randall L Nguyen | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2008 |
| Roberto Roizenblatt | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2008 |
| John B Mcbeath | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Long Beach, CA 90807-2008 |
| Stanley Carson | Ophthalmology | Carson Mcbeath and Boswell | 4300 Long Beach Blvd, Long Beach, CA 90807-2008 |
| Pallavkumar Patel | Internal Medicine | Amity Medical Group Inc | 2080 Century Park E, Suite 608, Los Angeles, CA 90807-2009 |
| Aimee C Martinez | Psychologist, Clinical | Amity Medical Group Inc | 2080 Century Park E, Suite 608, Los Angeles, CA 90807-2009 |
| Find all physicians in zip 90807 | |||
| City | LONG BEACH |
| Zip Code | 90807 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LONG BEACH + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.