Venu Divi (NPI# 1245390228, PAC ID# 9537268826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1245390228 |
| PAC ID by PECOS | 9537268826 |
| Professional Enrollment ID | I20130424000977 |
| Full Name | Venu Divi |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Address |
3816 Woodruff Ave Suite 412 Long Beach CA 90808-2146 |
| Phone Number | 5623771111 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2769388412 |
| Number of Group Practice Members | 205 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 3816 Woodruff Ave, Suite 412, Long Beach, CA 90808-2146 | 5623771111 | 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 |
3816 WOODRUFF AVE SUITE 412 |
| City | LONG BEACH |
| State | CA |
| Zip | 90808-2146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie J Khawam | Podiatry | 3816 Woodruff Ave, Suite 302, Long Beach, CA 90808-2146 | |
| Srividya Venkataraman | Family Medicine | 3816 Woodruff Ave, Suite 407, Long Beach, CA 90808-2146 | |
| Pedro De La Rosa | Internal Medicine | Prohealth Partners, A Medical Group | 3816 Woodruff Ave, Long Beach, CA 90808-2146 |
| Timothy C Simmons | Gastroenterology | Prohealth Partners, A Medical Group | 3816 Woodruff Ave, Suite 406, Long Beach, CA 90808-2146 |
| Derek Marc Dobalian | Gastroenterology | 3816 Woodruff Ave, Suite 307, Long Beach, CA 90808-2146 | |
| Diana Katsman | Ophthalmology | Retina Institute of California Medical Group | 3816 Woodruff Ave, Suite 100, Long Beach, CA 90808-2145 |
| Steven M Meltzer | Allergy/immunology | Allergy and Asthma Care Center of Southern California | 3816 Woodruff Ave, Suite 209, Long Beach, CA 90808-2145 |
| Cynthia Miller | Pulmonary Disease | 3816 Woodruff Ave, Suite 307, Long Beach, CA 90808-2146 | |
| Gamal M Ghoniem | Urology | Prohealth Partners, A Medical Group | 3816 Woodruff Ave, Long Beach, CA 90808-2146 |
| Dennis L Clark | Internal Medicine | Prohealth Partners, A Medical Group | 3816 Woodruff Ave, Long Beach, CA 90808-2146 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katharine Tansavatdi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3828 Schaufele Ave, Suite 250, Long Beach, CA 90808-0016 |
| Hieu Ngoc Doan | Optometry | 4130 N Viking Way, Long Beach, CA 90808-1402 | |
| Ngoc H Tran | Optometry | Ngoc H. Tran, Optometrist, A Professional Corporation | 4130 N Viking Way, Long Beach, CA 90808-1402 |
| Lucy L Erickson | Psychologist, Clinical | 4195 Viking Way, Suite 230, Long Beach, CA 90808-1468 | |
| Daniel C Hoover | Chiropractic | 4195 N Viking Way F, Long Beach, CA 90808-1470 | |
| Mary Shannon Ludloff | Physical Therapy | 4103 N Viking Way, Suite C, Long Beach, CA 90808-1490 | |
| Thomas J Thomas | Chiropractic | 4426 E Village Rd, Long Beach, CA 90808-1536 | |
| Fardad Mogharabi | Chiropractic | 4426 E Village Rd, Long Beach, CA 90808-1536 | |
| Raymond Tropeano | Chiropractic | 5406 E Village Rd, Long Beach, CA 90808-1607 | |
| Neil Maluste | Neurology | Southland Neurologic Institute A Medical Corporation | 3747 Worsham Ave, Suite 100, Long Beach, CA 90808-1734 |
| Find all physicians in zip 90808 | |||
| City | LONG BEACH |
| Zip Code | 90808 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LONG BEACH + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Venu Divi.
| 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.