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PROHEALTH PARTNERS A MEDICAL GROUP
NPI 1154862241
Surgery in Los Alamitos, CA

Active since March 09, 2017CLIA 05D2033297 · Waiver
3742 KATELLA AVE STE 303, LOS ALAMITOS, CA 90720(562) 296-8050 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 1, 2023, Aug 30, 2017, Aug 23, 2017 (3 updates tracked since 2017).

About Prohealth Partners A Medical Group NPPES

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

PROHEALTH PARTNERS A MEDICAL GROUP (NPI 1154862241) is a healthcare organization registered as a surgery in Los Alamitos, California and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Barry S Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1154862241
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP
Location Address3742 KATELLA AVE STE 303Los Alamitos, CA 90720-3172
Mailing Address3742 Katella Ave Ste 303Los Alamitos, CA 90720-3172
Phone(562) 296-8050
Organization SubpartNo
Authorized OfficialBarry S AllswangPresident · (562) 299-5200
Enumeration DateMarch 9, 2017
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1154862241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X
3742 KATELLA AVE STE 303, Los Alamitos, CA 90720
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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 05D2033297

Prohealth Partners, A Medical Group, Inc · Los Alamitos, CA
Active · expires Nov 28, 2027
CLIA Number05D2033297
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorPetra A. Wong
Laboratory Phone(562) 596-1242
Laboratory LocationProhealth Partners, A Medical Group, Inc3801 Katella Ave Ste 300, Los Alamitos, CA 90720
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOLAN DESA MD INC
Surgery
3742 KATELLA AVE STE 303
LOS ALAMITOS, CA 90720
Orange County (714) 421-1718

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's NPI number?

The NPI number for Prohealth Partners A Medical Group is 1154862241. It was assigned to this organization in the NPPES registry on March 9, 2017.

Where is Prohealth Partners A Medical Group located?

Prohealth Partners A Medical Group is located at 3742 Katella Ave Ste 303, Los Alamitos, CA 90720. The listed phone number is (562) 296-8050.

What is Prohealth Partners A Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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

Yes. A Certificate of Waiver (number 05D2033297) is associated with this NPI, valid through November 28, 2027. 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 was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.