PIONEER PROVIDER NETWORK
NPI 1528260643
Family Medicine in Lakewood, CA

Active since June 01, 2007
4909 LAKEWOOD BLVD, 200, LAKEWOOD, CA 90712(560) 602-1563 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Pioneer Provider Network NPPES

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

PIONEER PROVIDER NETWORK (NPI 1528260643) is a healthcare organization registered as a family medicine in Lakewood, California and active in the NPI registry since June 2007. The organization lists Bonnie Eng, Provider Relations Manager, as its authorized official.

NPPES Registry Identity

NPI1528260643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER PROVIDER NETWORK
Location Address4909 LAKEWOOD BLVD, 200Lakewood, CA 90712-2405
Mailing Address4909 Lakewood Blvd, 200Lakewood, CA 90712-2405
Organization SubpartNo
Authorized OfficialBonnie EngProvider Relations Manager · (562) 602-1563
Enumeration DateJune 1, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1528260643 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.
4909 LAKEWOOD BLVD, Lakewood, CA 90712

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

Other Providers at the Same Location NPPES 6

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

Health Maintenance Organization
4909 LAKEWOOD BLVD, STE. 200
LAKEWOOD, CA 90712
Health Maintenance Organization
4909 LAKEWOOD BLVD, STE. 200
LAKEWOOD, CA 90712
Health Maintenance Organization
4909 LAKEWOOD BLVD, #200
LAKEWOOD, CA 90712
General Practice
4909 LAKEWOOD BLVD, 200
LAKEWOOD, CA 90712
Preferred Provider Organization
4909 LAKEWOOD BLVD, SUITE 200
LAKEWOOD, CA 90712
Health Maintenance Organization
4909 LAKEWOOD BLVD, STE. 200
LAKEWOOD, CA 90712

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 Pioneer Provider Network's NPI number?

The NPI number for Pioneer Provider Network is 1528260643. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Pioneer Provider Network located?

Pioneer Provider Network is located at 4909 Lakewood Blvd 200, Lakewood, CA 90712. The listed phone number is (560) 602-1563.

What is Pioneer Provider Network's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pioneer Provider Network was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.