PROHEALTH PARTNERS A MEDICAL GROUP INC - NPI 1730519927 - Family Medicine in Hawaiian Gardens, CA

Q: What is Prohealth Partners A Medical Group Inc's specialty?

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

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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 1730519927) is a healthcare organization registered as a family medicine in Hawaiian Gardens, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 4, 2027, maintains a secondary practice location in Hawaiian Gardens, and lists Barry S. Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1730519927

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP INC

Location Address12321 CARSON ST STE 1Hawaiian Gardens, CA 90716-1818

Mailing Address5150 E Pacific Coast Hwy, Suite 500Long Beach, CA 90804-3312

Phone(562) 809-0299

Organization SubpartNo

Authorized OfficialBarry S. AllswangPresident · (562) 299-5200

Enumeration DateNovember 25, 2013

Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1730519927 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.

12321 CARSON ST STE 1, Hawaiian Gardens, CA 90716

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Secondary Practice Location 1

Location 112131 Carson StHawaiian Gardens, CA 90716-1154 · Phone (562) 809-0299

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 05D0994148

Prohealth Partners A Medical Group, Inc · Hawaiian Gardens, CA

Active · expires Dec 4, 2027

CLIA Number05D0994148

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2025

Certificate Expiration DateDecember 4, 2027

Laboratory DirectorDaniel Matemotja

Laboratory Phone(562) 809-0299

Laboratory LocationProhealth Partners A Medical Group, Inc12321 Carson St, Ste 1, Hawaiian Gardens, CA 90716

CLIA data matches this NPI record on: Address 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 1730519927. It was assigned to this organization in the NPPES registry on November 25, 2013.

Where is Prohealth Partners A Medical Group Inc located?

Prohealth Partners A Medical Group Inc is located at 12321 Carson St Ste 1, Hawaiian Gardens, CA 90716. The listed phone number is (562) 809-0299.

What is Prohealth Partners A Medical Group Inc's specialty?

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

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

Yes. A Certificate of Waiver (number 05D0994148) is associated with this NPI, valid through December 4, 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 Inc was last updated on February 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.