PROHEALTH PARTNERS A MEDICAL GROUP INC – NPI #1376905406
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PROHEALTH PARTNERS A MEDICAL GROUP INC is a provider located in UPLAND, CA. NPPES has assigned the NPI number 1376905406 to PROHEALTH PARTNERS A MEDICAL GROUP INC on March 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Dec 02, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROHEALTH PARTNERS A MEDICAL GROUP INC below.

NPI Profile for
PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI Number
1376905406
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROHEALTH PARTNERS A MEDICAL GROUP INC
Primary location
685 N 13TH AVE STE 7
UPLAND, CA 91786-4963
Phone: (909) 981-8383 Fax: (909) 920-3054
4 Other location(s):
685 N 13th Ave Ste 1
Upland, CA 91786-4963
Phone: (909) 981-8383
Fax: (909) 920-0406
685 N 13th Ave Ste 10
Upland, CA 91786-4963
Phone: (909) 981-8383
Fax: (909) 920-3054
685 N 13th Ave Ste 2
Upland, CA 91786-4963
Phone: (909) 981-8383
Fax: (909) 920-3054
685 N 13th Ave Ste 9
Upland, CA 91786-4963
Phone: (909) 981-8383
Fax: (909) 920-3054
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARRY ALLSWANG
PRESIDENT
Phone: (562) 299-5200
Updated
Certification Date
Dec 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.