PROHEALTH PARTNERS A MEDICAL GROUP (NPI# 1609226877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609226877 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP |
| Practice Address |
21840 Normandie Ave Torrance CA 90502-2047 |
| Mailing Address |
5150 E Pacific Coast Hwy Ste 500 Long Beach CA 90804-3328 |
| Practice Telephone | 3102225189 |
| Practice Fax Number | 3103281415 |
| Mailing Telephone | 5622995200 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | BARRY STEVEN ALLSWANG (PRESIDENT) |
| Authorized Official Telephone | 5624919281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 2471C1101X |
Radiologic Technologist Specialization: Cardiovascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E Beverly Blvd, Suite 100 A, Montebello, CA 906404300 | 3234907922 |
| 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 |
21840 NORMANDIE AVE |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598744252 | John Samuel Mcdonald | Anesthesiology | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-01-11 |
| 1174956064 | Riza Grace Nielsen | Nurse Practitioner | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2013-08-14 |
| 1386917169 | Lily Anna Nichols | Dietitian, Registered | 21840 Normandie Ave, Suite 1000, Torrance, CA 90502-2047 | 2012-02-09 |
| 1295029429 | Laura Figueroa-phillips | Pediatrics | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-06-06 |
| 1639460322 | Lilliana Po-garcia | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-04-28 |
| 1972740223 | Youngmee Kim | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2009-01-08 |
| 1366548646 | Dilrukshie Cooray | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-15 |
| 1326142928 | Harbor-ucla Faculty Practice Plan, A Medical Group Inc. | Specialist | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2006-09-12 |
| 1225131170 | Christina Wang | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-06 |
| 1235248295 | Tad T Tanoura | Radiology | 21840 Normandie Ave, Ste. 500, Torrance, CA 90502-2047 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1306495908 | Global Grace Medical Services Inc | Family Medicine | 21171 S Western Ave Ste 2710, Torrance, CA 90501-1728 | 2019-09-06 |
| 1386298685 | Shaw Medical Group Professional Corporation | Family Medicine | 1001 W Carson St Ste I, Torrance, CA 90502-2051 | 2019-07-25 |
| 1982137212 | Amanda L Jamal | Family Medicine | 1020 Acacia Ave, Torrance, CA 90501-2010 | 2017-04-04 |
| 1285170613 | Winnel Inc. | Family Medicine | 24554 Hawthorne Blvd, Torrance, CA 90505-6807 | 2017-01-09 |
| 1841602521 | Sheena Malik | Family Medicine | 21311 Madrona Ave Ste 100a, Torrance, CA 90503 | 2014-05-29 |
| 1235477498 | Pacific Coast Osteopathy | Family Medicine | 21311 Hawthorne Blvd, Suite 103, Torrance, CA 90503 | 2013-01-23 |
| 1376828582 | William Momary | Family Medicine | 19915 Tomlee Ave., Torrance, CA 90503-1154 | 2011-10-19 |
| 1639479041 | Derek Mcgrath Browne | Family Medicine | 22719 Hawthorne Blvd, Torrance, CA 90505-3613 | 2010-11-01 |
| 1306150149 | Mizuta Medical Group, Inc. | Family Medicine | 3655 Lomita Blvd Ste 115, Torrance, CA 90505-1906 | 2010-08-04 |
| Find all providers in TORRANCE | ||||
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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.