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LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1932129434


NPI Information

NPI: 1932129434
Provider Name: LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

Doing Business As: LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP

Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
777 FLOWER ST STE A
GLENDALE, CA
ZIP 91201
Phone: (818) 637-2000
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LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. is a hospitalist in Glendale, CA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. NPI is 1932129434. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeside Community Healthcare Medical Group.

The provider's business location address is:

777 FLOWER ST STE A
GLENDALE, CA
ZIP 91201-000
Phone: (818) 637-2000
Fax: (818) 242-8761

The provider's authorized official is Kerry E. Weiner .
The authorized official title is President and has the following contact phone number (818) 637-2000.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerCALIFORNIANo
3207N00000XDermatologyNo
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8207RR0500XInternal MedicineRheumatologyNo
9208000000XPediatricsNo
102085B0100XRadiologyBody ImagingNo
11208800000XUrologyNo
12208D00000XGeneral PracticeNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15208M00000XHospitalistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0068380MEDICAIDCALIFORNIA
2W12279BMEDICARE PINCALIFORNIA
3W12279CMEDICARE PINCALIFORNIA
4W12279GMEDICARE PINCALIFORNIA
5GR0068385MEDICAIDCALIFORNIA
6GR0068388MEDICAIDCALIFORNIA
7GR006838BMEDICAIDCALIFORNIA
8W12279FMEDICARE PINCALIFORNIA
9GR0068381MEDICAIDCALIFORNIA
10W12279MEDICARE PINCALIFORNIA
11W12279AMEDICARE PINCALIFORNIA
12GR0068382MEDICAIDCALIFORNIA
13W12279DMEDICARE PINCALIFORNIA
14GR0068384MEDICAIDCALIFORNIA
15GR006838AMEDICAIDCALIFORNIA
16GR0068383MEDICAIDCALIFORNIA
17GR0068386MEDICAIDCALIFORNIA
18GR0068387MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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