PROHEALTH PARTNERS A MEDICAL GROUP (NPI# 1467584441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467584441 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP |
| Practice Address |
3772 Katella Ave Ste 101 Los Alamitos CA 90720-6420 |
| Practice Telephone | 5625948853 |
| Practice Fax Number | 5623911860 |
| Mailing Telephone | 5625948853 |
| Mailing Fax Number | 5623911860 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | BARRY ALLSWANG (PRESIDENT) |
| Authorized Official Telephone | 5622995200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GROUP NUMBER | ZZZ53216Z | 01 |
| CA | GR006415E | 05 |
| 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 |
3772 KATELLA AVE STE 101 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-6420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| 1285730440 | Rei Tosu | Pediatrics | 10861 Cherry St Ste 305, Los Alamitos, CA 90720-5403 | 2006-09-15 |
| 1578918355 | Vivi Tran | Pediatrics | 10861 Cherry St Ste 305, Los Alamitos, CA 90720-5403 | 2016-04-28 |
| 1376928077 | Wu Pediatrics Corp | Pediatrics | 3801 Katella Ave, Suite 221, Los Alamitos, CA 90720-3338 | 2015-07-23 |
| 1023379757 | Ayla Munawar | Pediatrics | 3801 Katella Ave, Ste 221, Los Alamitos, CA 90720-3338 | 2012-05-29 |
| 1164616223 | Derek J. Wu | Pediatrics | 3801 Katella Ave, #221, Los Alamitos, CA 90720-3338 | 2007-08-31 |
| 1366652216 | Los Alamitos Pediatric Medical Group,inc. | Pediatrics | 10861 Cherry St Ste 305, Los Alamitos, CA 90720-5403 | 2007-05-22 |
| 1174629232 | Sumina Fukami | Pediatrics | 10861 Cherry St, #305, Los Alamitos, CA 90720-5402 | 2006-09-16 |
| 1700990710 | Melanie J Blumenthal | Pediatrics | 3772 Katella Ave, Suite 101, Los Alamitos, CA 90720-3104 | 2006-08-18 |
| 1982718995 | Richard A Blumenthal | Pediatrics | 3772 Katella Ave, Suite 101, Los Alamitos, CA 90720-3104 | 2006-08-18 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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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.