1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Physician Assistant
  6. NPI Profile

LISA GOODMAN PA
NPI 1134449564
Physician Assistant in Los Angeles, CA

Active since June 08, 2010
11760 SAN VICENTE BLVD, LOS ANGELES, CA 90049(310) 400-6534 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Goodman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA GOODMAN PA (NPI 1134449564) is an individual physician assistant in Los Angeles, California, licensed in California (20043) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1134449564
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA GOODMANCredential: PA
Location Address11760 SAN VICENTE BLVDLos Angeles, CA 90049-5010
Mailing Address11760 San Vicente BlvdLos Angeles, CA 90049-5010 · (310) 424-8238
Phone(310) 400-6534
Sole ProprietorYes
Enumeration DateJune 8, 2010
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1134449564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 20043
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11760 SAN VICENTE BLVD, Los Angeles, CA 90049
Open in Google Maps ↗

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 Lisa Goodman's NPI number?

The NPI number for Lisa Goodman is 1134449564. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Lisa Goodman located?

Lisa Goodman practices at 11760 San Vicente Blvd, Los Angeles, CA 90049. The listed phone number is (310) 400-6534.

What is Lisa Goodman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Goodman was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.