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PROHEALTH PARTNERS, A MEDICAL GROUP, INC
NPI 1477685436
Family Medicine in Long Beach, CA

Active since March 12, 2007CLIA 05D2036117 · Waiver
3840 WOODRUFF AVE STE 202, LONG BEACH, CA 90808(562) 296-5528(562) 296-8770 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 13, 2024, Jul 17, 2024, Nov 22, 2019 (3 updates tracked since 2019).

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 1477685436) 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 January 31, 2028 and lists Peter Ferrera, President, as its authorized official.

NPPES Registry Identity

NPI1477685436
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH PARTNERS, A MEDICAL GROUP, INC
Location Address3840 WOODRUFF AVE STE 202Long Beach, CA 90808-2149
Mailing Address3840 Woodruff Ave Ste 202Long Beach, CA 90808-2149 · (562) 296-5528 · Fax (562) 296-8770
Phone(562) 296-5528
Fax(562) 296-8770
Organization SubpartNo
Authorized OfficialPeter FerreraPresident · (562) 299-5200
Enumeration DateMarch 12, 2007
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1477685436 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.
3840 WOODRUFF AVE STE 202, Long Beach, CA 90808
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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

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

278

Medicare 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, 5 practice at this address and 141 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner55
Internal Medicine50
Family Practice38
Nephrology18
Cardiovascular Disease (Cardiology)17
Obstetrics/Gynecology10
Gastroenterology7
Hospitalist6
30 other specialties77

Nearest to this location (20)

See all 278
Seper Dezfoli, M.D.
Gastroenterology
NPI 1104159383
3816 WOODRUFF AVE STE 411
Long Beach, CA 90808
(562) 485-5550
✔ PECOS✔ Accepts MedicareSame address
Pedro De La Rosa, MD
Internal Medicine
NPI 1114940145
3816 WOODRUFF AVE SUITE 412
Long Beach, CA 90808
(562) 377-1111
✔ PECOS✔ Accepts MedicareSame address
Dennis Clark, MD
Internal Medicine
NPI 1699700849
3816 WOODRUFF AVE SUITE 401
Long Beach, CA 90808
(562) 420-8679
✔ PECOS✔ Accepts MedicareSame address
Rodolfo Ibarra, MD
Internal Medicine
NPI 1376566323
3816 WOODRUFF AVE SUITE 204
Long Beach, CA 90808
(562) 423-0436
✔ PECOS✔ Accepts MedicareSame address
Yvonne Tyson, MD
Family Practice
NPI 1881617868
3816 WOODRUFF AVE STE 412
Long Beach, CA 90808
(562) 377-1111
✔ PECOS✔ Accepts MedicareSame address
Lindsay Mossinger, M.D.
Internal Medicine
NPI 1952644197
3320 N LOS COYOTES DIAGONAL STE 112
Long Beach, CA 90808
(562) 684-7820
✔ PECOS✔ Accepts Medicare0.9 mi
Mirna Rizkalla, M.D.
Family Practice
NPI 1073967394
3320 N LOS COYOTES DIAGONAL STE 112
Long Beach, CA 90808
(562) 517-6970
✔ PECOS✔ Accepts Medicare0.9 mi
Mohammed Ashary, MD
Family Practice
NPI 1336834597
3320 N LOS COYOTES DIAGONAL STE 260
Long Beach, CA 90808
(562) 420-8679
✔ PECOS0.9 mi
Rekeeshella Elder
Marriage and Family Therapist
NPI 1952195125
3325 PALO VERDE AVE STE 201
Long Beach, CA 90808
(562) 542-3600
✔ PECOS✔ Accepts Medicare0.9 mi
Adriana Westby Trent
Clinical Psychologist
NPI 1518081942
3325 PALO VERDE AVE STE 201
Long Beach, CA 90808
(562) 542-3600
✔ PECOS✔ Accepts Medicare0.9 mi
Nancy Godfrey, M.D.
Rheumatology
NPI 1790777449
6226 E SPRING ST 275
Long Beach, CA 90815
(562) 496-0546
✔ PECOS✔ Accepts Medicare1.4 mi
Mehrdad Saliminejad, M.D.
Gastroenterology
NPI 1891934832
3833 WORSHAM AVE STE 300
Long Beach, CA 90808
(562) 595-5421
✔ PECOS✔ Accepts Medicare1.8 mi
Vishal Patel, M.D.
Cardiovascular Disease (Cardiology)
NPI 1326493438
3828 SCHAUFELE AVE STE 250
Long Beach, CA 90808
(657) 241-8990
✔ PECOS✔ Accepts Medicare1.8 mi
David Shen, M.D.
Family Practice
NPI 1235100330
4910 AIRPORT PLAZA DR STE 100
Long Beach, CA 90815
(562) 434-7777
✔ PECOS✔ Accepts Medicare1.8 mi
Carol Vasquez, FNP
Nurse Practitioner
NPI 1225406333
2110 N BELLFLOWER BLVD
Long Beach, CA 90815
(562) 346-2222
✔ PECOS2.4 mi
Larisa Garbar, M.D.
Hospitalist
NPI 1811906753
2220 CLARK AVE
Long Beach, CA 90815
(562) 597-4181
✔ PECOS✔ Accepts Medicare2.4 mi
Travis Desa, MD
Interventional Cardiology
NPI 1902298219
3650 SOUTH ST STE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts Medicare2.9 mi
Raghu Nandan, M.D
Hematology/Oncology
NPI 1861463606
3650 SOUTH ST 212
Lakewood, CA 90712
(562) 272-7630
✔ PECOS✔ Accepts Medicare2.9 mi
Kyaw Moe, MD
Nephrology
NPI 1083649735
3650 SOUTH ST SUITE 101
Lakewood, CA 90712
(562) 286-6466
✔ PECOS✔ Accepts Medicare2.9 mi
Neha Bhansali, M.D
Internal Medicine
NPI 1700923893
3650 SOUTH ST STE 403
Lakewood, CA 90712
(562) 531-0377
✔ PECOS✔ Accepts Medicare2.9 mi
See all 278 clinicians

Source: 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 05D2036117

Prohealth Partners A Medical Group, Inc · Los Alamitos, CA
Active · expires Jan 31, 2028
CLIA Number05D2036117
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJennifer K. Loomis, Do
Laboratory Phone(562) 296-5528
Laboratory LocationProhealth Partners A Medical Group, Inc3851 Katella Ave Ste 275, Los Alamitos, CA 90720
CLIA data matches this NPI record on: Name 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 1477685436. It was assigned to this organization in the NPPES registry on March 12, 2007.

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

Prohealth Partners, A Medical Group, Inc is located at 3840 Woodruff Ave Ste 202, Long Beach, CA 90808. The listed phone number is (562) 296-5528.

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, 5 practice at this address and 141 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 05D2036117) is associated with this NPI, valid through January 31, 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 December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.