GREAT LIFE MEDICAL PC
NPI 1396357513
Clinic/Center - Health Service in Long Beach, CA

Active since August 19, 2020
1777 N BELLFLOWER BLVD STE 109, LONG BEACH, CA 90815(562) 498-4455(562) 498-4499 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2021, Oct 13, 2020, Aug 19, 2020 (3 updates tracked since 2020).

About Great Life Medical Pc NPPES

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

GREAT LIFE MEDICAL PC (NPI 1396357513) is a healthcare organization registered as a health service in Long Beach, California and active in the NPI registry since August 2020. The organization lists Michelle Zarzana, Owner, as its authorized official.

NPPES Registry Identity

NPI1396357513
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGREAT LIFE MEDICAL PC
Location Address1777 N BELLFLOWER BLVD STE 109Long Beach, CA 90815-4019
Mailing Address1777 N Bellflower Blvd Ste 109Long Beach, CA 90815-4019 · (562) 498-4455 · Fax (562) 498-4499
Fax(562) 498-4499
Organization SubpartNo
Authorized OfficialMichelle ZarzanaOwner · (562) 498-4455
Enumeration DateAugust 19, 2020
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1396357513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1777 N BELLFLOWER BLVD STE 109, Long Beach, CA 90815

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Life Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Great Life Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1649976317
1777 N BELLFLOWER BLVD STE 109
Long Beach, CA 90815
(692) 498-4455
✔ PECOSSame address
Chiropractic
NPI 1619045747
1777 N BELLFLOWER BLVD STE. 109
Long Beach, CA 90815
(562) 498-4455
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477868206
2653 ELM AVE STE 100
Long Beach, CA 90806
(562) 728-5027
✔ PECOS3.9 mi
Internal Medicine
NPI 1538175708
2071 SAN JOAQUIN HILLS RD
Newport Beach, CA 92660
(310) 995-4247
✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Life Medical PC's NPI number?

The NPI number for Great Life Medical PC is 1396357513. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is Great Life Medical PC located?

Great Life Medical PC is located at 1777 N Bellflower Blvd Ste 109, Long Beach, CA 90815. The listed phone number is (562) 498-4455.

What is Great Life Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Great Life Medical PC enrolled in Medicare?

Yes. Great Life Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Life Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Great Life Medical PC, in Chiropractic, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Life Medical PC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.