PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
NPI 1114050218
Family Medicine in Long Beach, CA
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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
278Medicare 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, 3 practice at this address and 168 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 38
Nearest to this location (20)
See all 278Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
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, 3 practice at this address and 168 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Prohealth Partners, A Medical Group, Inc. · NPI 1114050218
Family Medicine organization in Long Beach, California. Organization record, active in the CMS NPPES registry since March 14, 2007.
## Identity
- **NPI:** 1114050218 (Entity type: Organization)
- **Enumerated:** March 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Barry Allswang, PRESIDENT
## Practice location
- **Address:** 911 E SAN ANTONIO DR STE 1, Long Beach, CA 90807-2204
- **Phone:** (562) 728-8700 · **Fax:** (562) 728-5855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 278 clinicians in 38 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (55), Internal Medicine (50), Family Practice (38); 3 practice at this address and 168 within 10 miles; [full list](https://npiprofile.com/npi/1114050218/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2018
- **Other identifiers:** Medicaid GR006415Z (CA); Other ZZZ66256Z (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114050218) · Data from the CMS NPPES public registry.