PROHEALTH PARTNERS A MEDICAL GROUP INC
NPI 1053444935
Family Medicine in Lakewood, CA

Active since March 13, 2007
3650 SOUTH ST, SUITE 210, LAKEWOOD, CA 90712(562) 630-0910(562) 630-4877 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prohealth Partners A Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH PARTNERS A MEDICAL GROUP INC (NPI 1053444935) is a healthcare organization registered as a family medicine in Lakewood, California and active in the NPI registry since March 2007. The organization lists Peter Ferrera, President, as its authorized official.

NPPES Registry Identity

NPI1053444935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP INC
Location Address3650 SOUTH ST, SUITE 210Lakewood, CA 90712-1502
Mailing Address3650 South St Ste 210Lakewood, CA 90712-1527 · (562) 630-0910
Fax(562) 630-4877
Organization SubpartNo
Authorized OfficialPeter FerreraPresident · (562) 299-5200
Enumeration DateMarch 13, 2007
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1053444935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3650 SOUTH ST, Lakewood, CA 90712

Other Identifiers 2

MedicaidGR006415YCA
OtherZZZ00491ZCA · Blue Shield Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prohealth Partners A Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

278

Medicare enrollment records show 278 clinicians reassign Medicare billing to Prohealth Partners A Medical Group Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 164 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner55
Internal Medicine50
Family Practice38
Nephrology18
Cardiovascular Disease (Cardiology)17
Obstetrics/Gynecology10
Gastroenterology7
Hospitalist6
30 other specialties77

Nearest to this location (20)

See all 278
Interventional Cardiology
NPI 1902298219
3650 SOUTH ST STE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1467419366
3650 SOUTH ST STE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1861463606
3650 SOUTH ST 212
Lakewood, CA 90712
(562) 272-7630
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1093913147
3650 SOUTH ST SUITE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1083649735
3650 SOUTH ST SUITE 101
Lakewood, CA 90712
(562) 286-6466
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1720215429
3650 SOUTH ST STE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700923893
3650 SOUTH ST STE 403
Lakewood, CA 90712
(562) 531-0377
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386679504
3650 EAST SOUTH STREET SUITE 210
Lakewood, CA 90712
(562) 630-0910
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1396795514
3650 SOUTH ST STE 403
Lakewood, CA 90712
(562) 531-0377
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1780649830
3560 E. SOUTH ST., #310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1164743464
5750 DOWNEY AVE STE 206
Lakewood, CA 90712
(562) 384-3034
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1437180320
5750 DOWNEY AVE SUITE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1497786396
5750 DOWNEY AVE SUITE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1891723482
5750 DOWNEY AVE SUITE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1891721353
5750 DOWNEY AVE SUITE 202
Lakewood, CA 90712
(562) 634-4939
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1619165115
5750 DOWNEY AVE STE 206
Lakewood, CA 90712
(562) 384-3034
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1851338941
5750 DOWNEY AVE STE 303 ATTENTION: ANTOINETTE M. COX
Lakewood, CA 90712
(562) 461-8584
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1790454833
5750 DOWNEY AVE STE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS0.1 mi
Hepatology
NPI 1538265830
5750 DOWNEY AVE STE 202
Lakewood, CA 90712
(562) 634-4939
✔ PECOS✔ Accepts Medicare0.1 mi
Critical Care (Intensivists)
NPI 1346402054
3700 SOUTH ST
Lakewood, CA 90712
(562) 531-5159
✔ PECOS✔ Accepts Medicare0.1 mi
See all 278 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prohealth Partners A Medical Group Inc's NPI number?

The NPI number for Prohealth Partners A Medical Group Inc is 1053444935. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Prohealth Partners A Medical Group Inc located?

Prohealth Partners A Medical Group Inc is located at 3650 South St Suite 210, Lakewood, CA 90712. The listed phone number is (562) 630-0910.

What is Prohealth Partners A Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prohealth Partners A Medical Group Inc enrolled in Medicare?

Yes. Prohealth Partners A Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prohealth Partners A Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 278 clinicians in 38 Medicare specialties reassign their Medicare billing to Prohealth Partners A Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (55), Internal Medicine (50) and Family Practice (38). Of these, 9 practice at this address and 164 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prohealth Partners A Medical Group Inc was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.