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

Q: 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.

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

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

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: August 02, 2026.

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

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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

Phone(323) 771-1713

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

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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

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.

Other Providers at the Same Location NPPES 9

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

DR. LOURDES G BAHAMONDE DO

Internal Medicine (Gastroenterology)