PROHEALTH PARTNERS, A MEDICAL GROUP, INC (NPI# 1700919669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700919669 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS, A MEDICAL GROUP, INC |
| Practice Address |
1043 Elm Ave Suite 300 Long Beach CA 90813-3271 |
| Mailing Address |
1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 |
| Practice Telephone | 5626244999 |
| Practice Fax Number | 5624919128 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-09-25 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006415C | 05 | |
| CA | BLUE SHIELD GROUP NUMBER | ZZZ57063Z | 01 |
| Street Address |
1043 ELM AVE SUITE 300 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336103209 | Harold Michael Klem | Radiology | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2006-04-17 |
| 1588055073 | Josephine Correia | Nurse Practitioner | 1043 Elm Ave, St. 302, Long Beach, CA 90813-3271 | 2015-02-05 |
| 1780925644 | Matthew Christopher Dillon | Social Worker | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2013-03-01 |
| 1811212491 | Cannon Milani | Internal Medicine | 1043 Elm Ave, Ste 104, Long Beach, CA 90813-3271 | 2010-04-07 |
| 1053543744 | Peter Nazmi Wahba | Internal Medicine | 1043 Elm Ave, Ste 104, Long Beach, CA 90813-3271 | 2009-08-14 |
| 1619092046 | Dignity Health | Clinic/Center | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2007-03-21 |
| 1710002860 | St. Mary Health Ventures, Inc. | Pharmacy | 1043 Elm Ave, Suite 305, Long Beach, CA 90813-3271 | 2007-03-20 |
| 1578699484 | Susan Suzuki Wellborn | Nurse Practitioner | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2007-02-26 |
| 1588701619 | Benjamin Montoya | Internal Medicine | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2007-01-30 |
| 1801983374 | Philip Scott Schauweker | Podiatrist | 1043 Elm Ave, Suite 407, Long Beach, CA 90813-3271 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902033913 | Henry Su | Internal Medicine | 1043 Elm Ave Ste 301, Long Beach, CA 90813-3295 | 2009-06-17 |
| 1760455000 | Patrice Ann Marcarelli | Internal Medicine | Po Box 17687, # 1442, Long Beach, CA 90807-7687 | 2006-02-08 |
| 1235559436 | Sindalisa Hean | Internal Medicine | 1043 Elm Ave Ste 301, Long Beach, CA 90813-3295 | 2014-04-26 |
| 1508026766 | Edgar Morris Wayne II | Internal Medicine | 1043 Elm Ave Ste 300, Long Beach, CA 90813-3295 | 2008-06-11 |
| 1134259237 | Nancy Eugenio Md Inc | Internal Medicine | 2690 Pacific Ave, #340, Long Beach, CA 90806 | 2007-03-07 |
| 1588701619 | Benjamin Montoya | Internal Medicine | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2007-01-30 |
| 1598857500 | Rodney Marvin Wishnow | Internal Medicine | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-09-28 |
| 1750481677 | Gary Peter Segal | Internal Medicine | 5901 E 7th St, Va Med Center; Medical Healthcare Group, Long Beach, CA 90822-5201 | 2006-09-22 |
| 1043321060 | Stephen Michael Berman | Internal Medicine | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-08-31 |
| 1730197344 | Chester Choi | Internal Medicine | 1050 Linden Ave, Dept. of Medical Education, Long Beach, CA 90813-3321 | 2006-08-03 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.