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PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
NPI 1114050218
Family Medicine in Long Beach, CA

Active since March 14, 2007CLIA 05D1050910 · Waiver
911 E SAN ANTONIO DR STE 1, LONG BEACH, CA 90807(562) 728-8700(562) 728-5855 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 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 1114050218) is a healthcare organization registered as a family medicine in Long Beach, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Barry Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1114050218
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Location Address911 E SAN ANTONIO DR STE 1Long Beach, CA 90807-2204
Mailing Address911 E San Antonio Dr Ste 1Long Beach, CA 90807-2204 · (562) 728-8700 · Fax (562) 728-5855
Phone(562) 728-8700
Fax(562) 728-5855
Organization SubpartNo
Authorized OfficialBarry AllswangPresident · (562) 299-5200
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 31, 2018
✔ NPI 1114050218 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.
911 E SAN ANTONIO DR STE 1, Long Beach, CA 90807
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Other Identifiers 2

MedicaidGR006415ZCA
OtherZZZ66256ZCA · 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1050910

Prohealth Partners, A Medical Grp Inc · Long Beach, CA
Active · expires Feb 14, 2028
CLIA Number05D1050910
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorKaren T. Dix
Laboratory Phone(562) 728-8700
Laboratory LocationProhealth Partners, A Medical Grp Inc911 E San Antonio Dr, Ste 1, Long Beach, CA 90807
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1114050218. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Prohealth Partners, A Medical Group, Inc. located?

Prohealth Partners, A Medical Group, Inc. is located at 911 E San Antonio Dr Ste 1, Long Beach, CA 90807. The listed phone number is (562) 728-8700.

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

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

Does Prohealth Partners, A Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1050910) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prohealth Partners, A Medical Group, Inc. was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.