PROPRIUS HEALTH MEDICAL GROUP PC – NPI #1447515911
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

PROPRIUS HEALTH MEDICAL GROUP PC is a provider located in LONG BEACH, CA. NPPES has assigned the NPI number 1447515911 to PROPRIUS HEALTH MEDICAL GROUP PC on July 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was last updated on Aug 28, 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 PROPRIUS HEALTH MEDICAL GROUP PC below.

NPI Profile for
PROPRIUS HEALTH MEDICAL GROUP PC

NPI Number
1447515911
Enumeration Date

(about 14 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
PROPRIUS HEALTH MEDICAL GROUP PC
Primary location
3939 ATLANTIC AVE STE 223
LONG BEACH, CA 90807
Phone: (562) 583-9345 Fax: (949) 502-8887
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREI DOKUKIN
PRESIDENT
Phone: (917) 647-5031
Updated
Certification Date
Aug 28, 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 PROPRIUS HEALTH MEDICAL GROUP PC

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE SHIELD OF CALIFORNIA GROUP PROVIDER NUMBERCAZZZ70684Y
otherCA CLINICAL LAB REGISTRATIONCACLR00343337
otherCA MEDICAL BOARD- FICTITIOUS NAME PERMITCA43221
otherCITY OF LONG BEACH BUSINESS LICENSECABU21223680
otherCLIA WAIVED CERTIFICATECA05D2048806
otherSECRETARY OF STATE CORPORATION NUMBERCAC3423023
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
CA A110631

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.