PROHEALTH PARTNERS A MEDICAL GROUP INC – NPI #1619009677
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

PROHEALTH PARTNERS A MEDICAL GROUP INC is a provider located in LAKEWOOD, CA. NPPES has assigned the NPI number 1619009677 to PROHEALTH PARTNERS A MEDICAL GROUP INC on March 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

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
1619009677
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
5750 DOWNEY AVE STE 303
LAKEWOOD, CA 90712-1477
Phone: (562) 461-8584 Fax: (562) 529-7800
Mailing address
Same as primary location
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 GROUP NUMBERCAZZZ47092Z
medicaidCAGR0064158
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
207RG0100X
- Internal Medicine / Gastroenterology (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.