LAKESHORE MEDICAL CLINIC INC
NPI 1063740520
Internal Medicine in Lake Elsinore, CA

Q: What is Lakeshore Medical Clinic Inc's NPI number?

The NPI number for Lakeshore Medical Clinic Inc is 1063740520. It was assigned to this organization in the NPPES registry on November 20, 2009.

Q: What is Lakeshore Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 20, 2009

16770 LAKESHORE DR STE G, LAKE ELSINORE, CA 92530(951) 674-6876(951) 674-6876 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lakeshore Medical Clinic Inc NPPES

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

LAKESHORE MEDICAL CLINIC INC (NPI 1063740520) is a healthcare organization registered as an internal medicine in Lake Elsinore, California and active in the NPI registry since November 2009. The organization lists Mohmedali Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1063740520

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKESHORE MEDICAL CLINIC INC

Location Address16770 LAKESHORE DR STE GLake Elsinore, CA 92530-4953

Mailing Address16770 Lakeshore Dr Ste GLake Elsinore, CA 92530-4953 · (951) 674-6876 · Fax (951) 674-6876

Phone(951) 674-6876

Fax(951) 674-6876

Organization SubpartNo

Authorized OfficialMohmedali PatelOwner · (951) 674-6876

Enumeration DateNovember 20, 2009

✔ NPI 1063740520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A50401

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

16770 LAKESHORE DR STE G, Lake Elsinore, CA 92530

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeshore Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohmedali Patel, M. D.

Internal Medicine

NPI 1548486756

16738 LAKESHORE DR SUITE-F
Lake Elsinore, CA 92530

(951) 674-6876

✔ PECOS✔ Accepts Medicare0.1 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 Lakeshore Medical Clinic Inc's NPI number?

The NPI number for Lakeshore Medical Clinic Inc is 1063740520. It was assigned to this organization in the NPPES registry on November 20, 2009.

Where is Lakeshore Medical Clinic Inc located?

Lakeshore Medical Clinic Inc is located at 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530. The listed phone number is (951) 674-6876.

What is Lakeshore Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lakeshore Medical Clinic Inc enrolled in Medicare?

Yes. Lakeshore Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lakeshore Medical Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic Inc was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.