NPIMap

Organization Active NPI

Goodlife Physical Medicine Corp

  • General Practice Physician
  • Torrance, CA
National Provider Identifier
1275229692
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GOODLIFE PHYSICAL MEDICINE CORP
Practice address
1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Phone
(310) 543-7779
Fax
(844) 314-9911
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam M Weitzman, MDNPI 1396800488
Title
Manager
Phone
(310) 543-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867

Mailing address

1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Phone (310) 543-7779

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2234144Goodlife Physical Medicine1231 Cabrillo Ave Suite 205, Torrance, CA 90501Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

1231 Cabrillo Ave
#203
Torrance, CA 90501
Phone 3105437779140

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1275229692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PHYSICAL MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-543-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.