Goodlife Physical Medicine Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOODLIFE PHYSICAL MEDICINE CORP

Practice address

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

NPI assigned

Jan 22, 2016

Last updated

Feb 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam WeitzmanNPI 1396800488

Title

Owner

Phone

(310) 543-7779

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 15

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.

• Adam M Weitzman, MD

  • Interventional Pain Medicine Physician
  • Torrance, CA
  • NPI 1396800488
  Medicare reassignment Care Compare group NPD Authorized official
• David Elie Carry, D.C.

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1497088074
  Medicare reassignment Care Compare group NPD
• Cole Girard Carson

  • Chiropractor
  • Porterville, CA
  • NPI 1952139933
  Medicare reassignment Care Compare group NPD
• Brock Clements, DC

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1154166973
  Medicare reassignment Care Compare group NPD
• An Phan Fajardo

  • Physical Therapist
  • Torrance, CA
  • NPI 1659849412
  Medicare reassignment Care Compare group NPD
• Lance Jeffrey Fenton, D.C.

  • Chiropractor
  • South Pasadena, CA
  • NPI 1104829662
  Medicare reassignment Care Compare group NPD
• Jeffrey S. Millan, D.C.

  • Chiropractor
  • San Pedro, CA
  • NPI 1568757037
  Medicare reassignment Care Compare group NPD
• Cory Morrison, P.A.-C

  • Surgical Physician Assistant
  • Hawthorne, CA
  • NPI 1750682803
  Medicare reassignment Care Compare group NPD
• Michael W. Roquemore, D.C.

  • Sports Physician Chiropractor
  • Torrance, CA
  • NPI 1033140348
  Medicare reassignment Care Compare group NPD
• Merrick Rae Tomlinson, DC

  • Chiropractor
  • Atlanta, GA
  • NPI 1275886517

  CA

  Medicare reassignment Care Compare group NPD
• Vaughn Ruark Villena Chua-Uy, PT, DPT

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1174465694
  Medicare reassignment Care Compare group
• Erica L. Fleischauer, MS, MPT

  • Physical Therapist
  • Torrance, CA
  • NPI 1124247176
  Medicare reassignment NPD

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1891152781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PHYSICAL MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-543-7779",
        "authorized_official_name_prefix": "Dr."
    },
    "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": []
}

• Jose Merced Gonzalez
• Tim Gonzalez, CNIM
• Kelley Goo
• Goodlife Chiropractic
• Goodlife Pain Center LLC
• Jana Rosenbloom Goodstadt, MS CCC-SLP
• Deana R Gorka, M.A.
• Kimberly Whitney Gorskie Garcia, DOULA
• Mariana N. Gost, MA
• Lindsay Gott, OTR/L

• General Practice Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.

Verify at the official NPI Registry.