PROHEALTH PHYSICAL MEDICINE
NPI 1437551033
Physical Medicine & Rehabilitation in Studio City, CA

Active since September 25, 2014
11239 VENTURA BLVD STE 213, STUDIO CITY, CA 91604(818) 505-0152(818) 505-0398 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prohealth Physical Medicine NPPES

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

PROHEALTH PHYSICAL MEDICINE (NPI 1437551033) is a healthcare organization registered as a physical medicine & rehabilitation in Studio City, California and active in the NPI registry since September 2014. The organization lists Robert Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1437551033
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameBOULEVARD MEDICAL GROUP, INC.
Location Address11239 VENTURA BLVD STE 213Studio City, CA 91604-3167
Mailing Address11239 Ventura Blvd Ste 213Studio City, CA 91604-3167 · (818) 505-0152 · Fax (818) 505-0398
Fax(818) 505-0398
Organization SubpartNo
Authorized OfficialRobert GonzalezPresident · (818) 505-0152
Enumeration DateSeptember 25, 2014
Last NPPES UpdateOctober 23, 2015
✔ NPI 1437551033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
11239 VENTURA BLVD STE 213, Studio City, CA 91604

Other Names 1

Doing Business AsProhealth Physical Medicine

Other Identifiers 1

OtherCB236695CA · Medicare Dme Ptan

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 Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Prohealth Physical Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1538448949
11239 VENTURA BLVD STE 213
Studio City, CA 91604
(818) 505-0152
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1326487844
2001 S BARRINGTON AVE SUITE 101
Los Angeles, CA 90025
(310) 575-5575
✔ Accepts Medicare8.4 mi
Emergency Medicine
NPI 1568574937
1250 16TH ST EMERGENCY DEPARTMENT
Santa Monica, CA 90404
(310) 319-4000
✔ PECOS✔ Accepts Medicare10 mi
Chiropractic
NPI 1750401089
22777 LYONS AVE SUITE 105
Newhall, CA 91321
(661) 254-3223
19 mi

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 Boulevard Medical Group, Inc.'s NPI number?

The NPI number for Boulevard Medical Group, Inc. is 1437551033. It was assigned to this organization in the NPPES registry on September 25, 2014. The provider is doing business as Prohealth Physical Medicine.

Where is Boulevard Medical Group, Inc. located?

Boulevard Medical Group, Inc. is located at 11239 Ventura Blvd Ste 213, Studio City, CA 91604. The listed phone number is (818) 505-0152.

What is Boulevard Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Boulevard Medical Group, Inc. enrolled in Medicare?

Yes. Boulevard Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boulevard Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Boulevard Medical Group, Inc., in Chiropractic, Emergency Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 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 Boulevard Medical Group, Inc. was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.