Active NPI
Adam J Goodman, MD
- Emergency Medicine Physician
- Los Angeles, CA
National Provider Identifier
1487882841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A114392
- Practice address
- 1983 Marengo St
Los Angeles, CA 90033-1370 - Phone
- (323) 409-1615
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A114392 | CA | Primary |
Addresses
Primary practice location
1983 Marengo St
Los Angeles, CA 90033-1370
Mailing address
1920 6TH St
Apt 333
Santa Monica, CA 90405-1285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Emergency Medicine | Current | Accepting new patients |
| Torrance Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Torrance Memorial Medical Center | Current | Accepting new patients | |
| Torrance Memorial Medical Center | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Emergency Medicine | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1619153251
-
- Emergency Medicine Physician
- Torrance, CA
- NPI 1184048712
-
- Diagnostic Radiology Physician
- Torrance, CA
- NPI 1477502797
Emergency Medicine
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1639415862
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1487882841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 6TH ST",
"address_2": "APT 333",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARENGO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331370",
"telephone_number": "323-409-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ADAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A114392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.