CLINICA SANTA CLARA MEDICAL CLINIC
NPI 1922495076
Family Medicine in Cudahy, CA

Active since April 15, 2015CLIA 05D2114311 · Waiver
7643 ATLANTIC AVE, CUDAHY, CA 90201(323) 771-1713(323) 562-1302 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2019, Aug 20, 2018 (2 updates tracked since 2018).

About Clinica Santa Clara Medical Clinic NPPES

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

CLINICA SANTA CLARA MEDICAL CLINIC (NPI 1922495076) is a healthcare organization registered as a family medicine in Cudahy, California and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Barry Steven Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1922495076
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP
Location Address7643 ATLANTIC AVECudahy, CA 90201
Mailing Address7643 Atlantic AveCudahy, CA 90201-5019 · (323) 771-1713 · Fax (323) 562-1302
Fax(323) 562-1302
Organization SubpartNo
Authorized OfficialBarry Steven AllswangPresident · (562) 299-5200
Enumeration DateApril 15, 2015
Last NPPES UpdateJanuary 29, 20192 updates tracked since enumeration
✔ NPI 1922495076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
7643 ATLANTIC AVE, Cudahy, CA 90201

Other Names 1

Doing Business AsClinica Santa Clara Medical Clinic

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)

Clinica Santa Clara Medical Clinic 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 Clinica Santa Clara Medical Clinic, which bills Medicare for the services they deliver. Of these, 63 practice 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
Internal Medicine
NPI 1558523670
3224 SANTA ANA ST
South Gate, CA 90280
(323) 763-1300
✔ PECOS✔ Accepts Medicare1.4 mi
Pulmonary Disease
NPI 1366653354
4081 E OLYMPIC BLVD
Los Angeles, CA 90023
(323) 267-0477
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1356912059
8337 TELEGRAPH RD STE 102
Pico Rivera, CA 90660
(562) 445-3181
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1790342764
14023 PARAMOUNT BLVD
Paramount, CA 90723
(562) 286-6815
✔ PECOS✔ Accepts Medicare4.4 mi
Family Practice
NPI 1821002759
711 EAST ROSECRANS AVENUE
Compton, CA 90221
(310) 635-5223
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1528379690
12200 BELLFLOWER BLVD
Downey, CA 90242
(562) 622-4106
✔ PECOS4.7 mi
Nurse Practitioner
NPI 1952901969
11900 AVALON BLVD STE 100
Los Angeles, CA 90061
(323) 920-4959
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1659366136
1005 E WASHINGTON BLVD
Los Angeles, CA 90021
(213) 745-3636
✔ PECOS✔ Accepts Medicare5.6 mi
Diagnostic Radiology
NPI 1558631655
1500 SAN PABLO ST 2ND FLOOR
Los Angeles, CA 90033
(323) 442-8541
✔ PECOS✔ Accepts Medicare6.6 mi
Critical Care (Intensivists)
NPI 1346402054
3700 SOUTH ST
Lakewood, CA 90712
(562) 531-5159
✔ PECOS✔ Accepts Medicare7.6 mi
Cardiovascular Disease (Cardiology)
NPI 1780649830
3560 E. SOUTH ST., #310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts Medicare7.6 mi
Gastroenterology
NPI 1851338941
5750 DOWNEY AVE STE 303 ATTENTION: ANTOINETTE M. COX
Lakewood, CA 90712
(562) 461-8584
✔ PECOS✔ Accepts Medicare7.7 mi
Dermatology
NPI 1437180320
5750 DOWNEY AVE SUITE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS✔ Accepts Medicare7.7 mi
Internal Medicine
NPI 1497786396
5750 DOWNEY AVE SUITE 100
Lakewood, CA 90712
(562) 630-3105
✔ PECOS✔ Accepts Medicare7.7 mi
Interventional Cardiology
NPI 1720215429
3650 SOUTH ST STE 310
Lakewood, CA 90712
(562) 531-1980
✔ PECOS✔ Accepts Medicare7.7 mi
Hepatology
NPI 1538265830
5750 DOWNEY AVE STE 202
Lakewood, CA 90712
(562) 634-4939
✔ PECOS✔ Accepts Medicare7.7 mi
Nephrology
NPI 1083649735
3650 SOUTH ST SUITE 101
Lakewood, CA 90712
(562) 286-6466
✔ PECOS✔ Accepts Medicare7.7 mi
Hematology/Oncology
NPI 1861463606
3650 SOUTH ST 212
Lakewood, CA 90712
(562) 272-7630
✔ PECOS✔ Accepts Medicare7.7 mi
Emergency Medicine
NPI 1790738110
4857 HUNTINGTON DR N
Los Angeles, CA 90032
(323) 226-9042
✔ PECOS✔ Accepts Medicare8.3 mi
Podiatry
NPI 1518205012
901 E SAN ANTONIO DR
Long Beach, CA 90807
(562) 774-3668
✔ PECOS✔ Accepts Medicare8.8 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 05D2114311

Prohealth Partners A Medical Group Inc · Cudahy, CA
Active · expires Jun 9, 2028
CLIA Number05D2114311
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorYvonne Tyson
Laboratory Phone(323) 771-1713
Laboratory LocationProhealth Partners A Medical Group Inc7643 S Atlantic Ave, Cudahy, CA 90201
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's NPI number?

The NPI number for Prohealth Partners A Medical Group is 1922495076. It was assigned to this organization in the NPPES registry on April 15, 2015. The provider is doing business as Clinica Santa Clara Medical Clinic.

Where is Prohealth Partners A Medical Group located?

Prohealth Partners A Medical Group is located at 7643 Atlantic Ave, Cudahy, CA 90201. The listed phone number is (323) 771-1713.

What is Prohealth Partners A Medical Group's specialty?

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

Is Prohealth Partners A Medical Group enrolled in Medicare?

Yes. Prohealth Partners A Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prohealth Partners A Medical Group?

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. 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, 63 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 05D2114311) is associated with this NPI, valid through June 9, 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 was last updated on January 29, 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.