Active NPI
Good Life Medical Group Inc
- Family Medicine Physician
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6005
- Legal business name
- GOOD LIFE MEDICAL GROUP INC
- Practice address
- 3650 South St Ste 204
Lakewood, CA 90712-1521 - Phone
- (562) 602-8841
- Fax
- (562) 602-8843
- NPI assigned
- May 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Hugh, D.O.
- Title
- C.E.O.
- Phone
- (562) 602-8841
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6005 | CA | Primary |
| Pediatrics Physician | 208000000X | A050818 | CA |
Addresses
Primary practice location
3650 South St Ste 204
Lakewood, CA 90712-1521
Mailing address
3650 South St Ste 204
Lakewood, CA 90712-1521
Phone (562) 602-8841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0092320 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0999209 | Good Life Medical Group Inc | Certificate of waiver | May 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
5451 La Palma Ave
Ste 16
La Palma, CA 90623
Phone (562) 865-0210
3650 South St
Lakewood, CA 90712
Phone (562) 633-6353
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lakewood, CA
- NPI 1316035082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1316940828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 SOUTH ST STE 204",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121521",
"telephone_number": "562-602-8841",
"fax_number": "562-602-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 SOUTH ST STE 204",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121521",
"telephone_number": "562-602-8841",
"fax_number": "562-602-8843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "HUGH",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "562-602-8841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6005",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A050818",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0092320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.