PROHEALTH PARTNERS A MEDICAL GROUP INC – NPI #1669686796
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 LONG BEACH, CA. NPPES has assigned the NPI number 1669686796 to PROHEALTH PARTNERS A MEDICAL GROUP INC on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Sep 04, 2025. 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
1669686796
Enumeration Date

(more than 19 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
1045 ATLANTIC AVENUE
SUITE 611
LONG BEACH, CA 90813
Phone: (562) 437-2801 Fax: (562) 432-0111
Mailing address
1045 ATLANTIC AVE STE 611
LONG BEACH, CA 90813-3414
Phone: (562) 432-0111 Fax:
Organization Subpart
No
Authorized Official
PETER FERRERA
PRESIDENT
Phone: (562) 299-5200
Updated
Certification Date
Sep 04, 2025

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.

Identifiers

Identifiers for PROHEALTH PARTNERS A MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE SHIELD OF CALIFORNIACAZZZ69885Z
medicaidCAGR0015761
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.