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PROHEALTH PARTNERS A MEDICAL GROUP
NPI 1306342472
Internal Medicine - Interventional Cardiology in Garden Grove, CA

Active since April 05, 2018
12555 GARDEN GROVE BLVD STE 403, GARDEN GROVE, CA 92843(714) 617-2626(714) 422-0362 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Nov 12, 2018 (2 updates tracked since 2018).

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 1306342472) is a healthcare organization registered as an interventional cardiology in Garden Grove, California and active in the NPI registry since April 2018. The organization lists Barry Steven Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1306342472
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP
Location Address12555 GARDEN GROVE BLVD STE 403Garden Grove, CA 92843-1903
Mailing Address5150 E Pacific Coast Hwy Ste 500Long Beach, CA 90804-3328 · (562) 299-5200 · Fax (562) 299-5294
Phone(714) 617-2626
Fax(714) 422-0362
Organization SubpartNo
Authorized OfficialBarry Steven AllswangPresident · (562) 299-5200
Enumeration DateApril 5, 2018
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1306342472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
12555 GARDEN GROVE BLVD STE 403, Garden Grove, CA 92843
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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 05D2188510

Prohealth Partners, A Medical Group Inc · Garden Grove, CA
Expired · Jul 16, 2026
CLIA Number05D2188510
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorAmer Zarka
Laboratory Phone(714) 617-2626
Laboratory LocationProhealth Partners, A Medical Group Inc12555 Garden Grove Blvd Ste 403, Garden Grove, CA 92843
CLIA data matches this NPI record on: Address Name Phone
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.

DR. MAZEN HASHISHO M.D.
Surgery (Vascular Surgery)
12555 GARDEN GROVE BLVD STE 403
GARDEN GROVE, CA 92843
Orange County (562) 506-0176

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 1306342472. It was assigned to this organization in the NPPES registry on April 5, 2018.

Where is Prohealth Partners A Medical Group located?

Prohealth Partners A Medical Group is located at 12555 Garden Grove Blvd Ste 403, Garden Grove, CA 92843. The listed phone number is (714) 617-2626.

What is Prohealth Partners A Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Prohealth Partners A Medical Group was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.