LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1861499535

NPI Information

  • NPI: 1861499535
  • Provider Name: LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Doing Business As: LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
  • Address: 191 S BUENA VISTA ST
    SUITE 420
    BURBANK, CA
    ZIP 91505
  • Phone: (818) 557-7399

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NPI Details

LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. is a rheumatology internal medicine in Burbank, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. NPI is 1861499535. 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:

191 S BUENA VISTA ST
SUITE 420
BURBANK, CA
ZIP 91505-554
Phone: (818) 557-7399
Fax: (818) 848-1543

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 7/7/2005 and was last updated on 3/25/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerCALIFORNIANo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3208600000XSurgeryNo
4207RR0500XInternal MedicineRheumatologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0068386MEDICAIDCALIFORNIA
2W17707MEDICARE UPINCALIFORNIA
3W12279MEDICARE PINCALIFORNIA

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: 11/21/2025

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