PROHEALTH PARTNERS, A MEDICAL GROUP (NPI# 1093848509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093848509 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Practice Address |
5750 Downey Ave Suite 100 Lakewood CA 90712-1405 |
| Mailing Address |
1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 |
| Practice Telephone | 5626303105 |
| Practice Fax Number | 5626303853 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-03-17 |
| 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 |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0015760 | 05 | |
| CA | BLUE SHIELD GROUP NUMBER | ZZZ00883Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5750 Downey Ave Ste 303, Lakewood, CA 907121477 | 5624618584 | 5625297800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437282316 | Prohealth Partners, A Medical Group | Podiatrist | 901 E San Antonio Dr, Long Beach, CA 90807-2211 | 2007-03-13 |
| 1942332937 | Prohealth Partners, A Medical Group | Internal Medicine | 3816 Woodruff Ave Ste 401, Long Beach, CA 90808 | 2007-03-12 |
| 1972933497 | Prohealth Partners, A Medical Group | Family Medicine | 801 N Tustin Ave Ste 201, Santa Ana, CA 92705-3600 | 2013-11-19 |
| 1003949975 | Prohealth Partners, A Medical Group | Internal Medicine | 1045 Atlantic Ave, Suite 705, Long Beach, CA 90813-3408 | 2007-03-13 |
| 1023141736 | Prohealth Partners, A Medical Group | Internal Medicine | 5750 Downey Ave Ste 202, Lakewood, CA 90712-1470 | 2007-03-13 |
| 1346373222 | Prohealth Partners, A Medical Group | Internal Medicine | 2888 Long Beach Blvd, Suite 235, Long Beach, CA 90806-1530 | 2007-03-13 |
| 1619009677 | Prohealth Partners, A Medical Group | Internal Medicine | 5750 Downey Ave Ste 303, Lakewood, CA 90712-1477 | 2007-03-12 |
| Street Address |
5750 DOWNEY AVE SUITE 100 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518927540 | Josephine B Saad | Obstetrics & Gynecology | 5750 Downey Ave, Suite 201, Lakewood, CA 90712-1405 | 2006-03-24 |
| 1902331861 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2017-04-27 |
| 1588030951 | Prohealth Partners A Medical Group Inc | Family Medicine | 5750 Downey Ave, Suite 206, Lakewood, CA 90712-1405 | 2015-08-19 |
| 1760747273 | Tms Wellness Group | Psychiatry & Neurology | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2012-07-10 |
| 1720249691 | James Anthony Kim | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2008-06-23 |
| 1255528857 | Mark R. Ezekiel, M.d., A Medical Corporation | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2007-09-27 |
| 1902098304 | Gary L Baker Md A Professional Corporation | Specialist | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2007-08-10 |
| 1588712541 | Jose Mendoza | Pediatrics | 5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 | 2007-01-08 |
| 1568526689 | Edgar A Abbes | Podiatrist | 5750 Downey Ave, Suite 203, Lakewood, CA 90712-1405 | 2006-12-21 |
| 1194898130 | Soad A Salam | Physical Therapist | 5750 Downey Ave, Suite 301, Lakewood, CA 90712-1405 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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. |
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|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
| Find all providers in LAKEWOOD | ||||
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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.