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PROHEALTH PARTNERS A MEDICAL GROUP INC
NPI 1962716415
Otolaryngology in San Pedro, CA

Active since July 27, 2010
350 W 5TH ST, SUITE 209, SAN PEDRO, CA 90731(310) 521-6386 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1962716415) is a healthcare organization registered as an otolaryngology in San Pedro, California and active in the NPI registry since July 2010. The organization lists Peter Ferrera, President, as its authorized official.

NPPES Registry Identity

NPI1962716415
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP INC
Location Address350 W 5TH ST, SUITE 209San Pedro, CA 90731-2737
Mailing Address350 W 5th St Ste 209San Pedro, CA 90731-2752 · (310) 521-6386
Phone(310) 521-6386
Organization SubpartNo
Authorized OfficialPeter FerreraPresident · (562) 299-5200
Enumeration DateJuly 27, 2010
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1962716415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
350 W 5TH ST, San Pedro, CA 90731
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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, 1 practice at this address and 99 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
Venu Divi, M.D.
Otolaryngology
NPI 1245390228
350 W 5TH ST STE 209
San Pedro, CA 90731
(310) 521-6386
✔ PECOS✔ Accepts MedicareSame address
Shakir Ullah
Internal Medicine
NPI 1679149876
25820 NORMANDIE AVE
Harbor City, CA 90710
(310) 325-5111
✔ PECOS✔ Accepts Medicare3.5 mi
Ugochi Hommey, FNP
Nurse Practitioner
NPI 1114793478
2040 PACIFIC COAST HWY STE S
Lomita, CA 90717
(424) 347-8008
✔ PECOS3.9 mi
Kari Wells, NP
Nurse Practitioner
NPI 1922699149
24329 CRENSHAW BLVD STE A
Torrance, CA 90505
(310) 868-8100
✔ PECOS✔ Accepts Medicare5.1 mi
Kay Elledge, MD
Obstetrics/Gynecology
NPI 1023055928
3701 SKYPARK DR SUITE 150
Torrance, CA 90505
(310) 378-8450
✔ PECOS✔ Accepts Medicare6.2 mi
Henry Su, M.D.
Infectious Disease
NPI 1902033913
1043 ELM AVE STE 301
Long Beach, CA 90813
(562) 624-4943
✔ PECOS✔ Accepts Medicare6.2 mi
John Javien, MD
Cardiovascular Disease (Cardiology)
NPI 1740504356
1040 ELM AVE STE 200
Long Beach, CA 90813
(562) 624-4999
✔ PECOS✔ Accepts Medicare6.2 mi
Gita Kalantari, MD
Family Practice
NPI 1790968659
1040 ELM AVE
Long Beach, CA 90813
(562) 624-4999
✔ PECOS✔ Accepts Medicare6.2 mi
Edward Green, M.D.
Orthopedic Surgery
NPI 1467554220
1040 ELM AVE SUITE 100
Long Beach, CA 90813
(562) 591-4444
✔ PECOS✔ Accepts Medicare6.2 mi
Lilly Barba, M.D.
Nephrology
NPI 1407835978
21840 NORMANDIE AVE STE. 700
Torrance, CA 90502
(310) 222-5101
✔ PECOS6.3 mi
Matthew Budoff, M.D.
Internal Medicine
NPI 1811967433
21840 NORMANDIE AVE STE. 700
Torrance, CA 90502
(310) 222-5101
✔ PECOS✔ Accepts Medicare6.3 mi
Viktor Eysselein, M.D.
Gastroenterology
NPI 1609848191
21840 NORMANDIE AVE STE. 700
Torrance, CA 90502
(310) 222-5101
✔ PECOS✔ Accepts Medicare6.3 mi
Andrew Gianoukakis, M.D.
Endocrinology
NPI 1023083086
21840 NORMANDIE AVE STE. 700
Torrance, CA 90502
(310) 222-5183
✔ PECOS✔ Accepts Medicare6.3 mi
Meiling Yuen, M.D.
Dermatology
NPI 1386687929
21840 NORMANDIE AVE STE 700
Torrance, CA 90502
(310) 222-5183
✔ PECOS✔ Accepts Medicare6.3 mi
Elizabeth Scott, MD
Emergency Medicine
NPI 1700413101
1000 W CARSON ST
Torrance, CA 90502
(650) 804-1269
✔ PECOS✔ Accepts Medicare6.3 mi
Nathan Yee, M.D.
Pulmonary Disease
NPI 1982021424
1000 W CARSON ST
Torrance, CA 90502
(310) 222-3801
✔ PECOS✔ Accepts Medicare6.3 mi
Gregory Eckel, M.D.
Diagnostic Radiology
NPI 1053383505
1001 W CARSON ST STE U
Torrance, CA 90502
(424) 306-4748
✔ PECOS✔ Accepts Medicare6.4 mi
Ignacio Carrillo-Nunez, M.D.
Neurology
NPI 1205827201
1045 ATLANTIC AVE STE 719
Long Beach, CA 90813
(562) 591-1324
✔ PECOS✔ Accepts Medicare6.4 mi
Mauricio Heilbron, M.D.
General Surgery
NPI 1386732915
1045 ATLANTIC AVE SUITE 1002
Long Beach, CA 90813
(562) 435-5511
✔ PECOS✔ Accepts Medicare6.4 mi
Nathaniel Neal, M.D.
Rheumatology
NPI 1720006729
2840 LONG BEACH BLVD STE 365
Long Beach, CA 90806
(562) 989-2374
✔ PECOS✔ Accepts Medicare7.3 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.

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 1962716415. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Prohealth Partners A Medical Group Inc located?

Prohealth Partners A Medical Group Inc is located at 350 W 5th St Suite 209, San Pedro, CA 90731. The listed phone number is (310) 521-6386.

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

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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, 1 practice at this address and 99 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prohealth Partners A Medical Group Inc was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.