LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1083879969
Family Medicine in Simi Valley, CA

Q: What is Lakeside Medical Associates, A Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 21, 2008

3605 ALAMO ST, SUITE 100, SIMI VALLEY, CA 93063(805) 522-6577(805) 522-7030 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Community Healthcare Medical Group NPPES

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

LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP (NPI 1083879969) is a healthcare organization registered as a family medicine in Simi Valley, California and active in the NPI registry since July 2008. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1083879969

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

Location Address3605 ALAMO ST, SUITE 100Simi Valley, CA 93063-2186

Mailing Address777 Flower Street, Suite AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761

Phone(805) 522-6577

Fax(805) 522-7030

Organization SubpartNo

Authorized OfficialKerry E. WeinerPresident · (818) 637-2000

Enumeration DateJuly 21, 2008

Last NPPES UpdateSeptember 4, 2009

✔ NPI 1083879969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

3605 ALAMO ST, Simi Valley, CA 93063

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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE LU-GEE HOM MD

Family Medicine

3605 ALAMO ST, SUITE 100
SIMI VALLEY, CA 93063

Ventura County (805) 522-6577

CATHERINE MCCLAIN PHILLIPS PA C

Physician Assistant

3605 ALAMO ST, STE 100
SIMI VALLEY, CA 93063

Ventura County (805) 522-6577

SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP

Orthopaedic Surgery

3605 ALAMO ST
SIMI VALLEY, CA 93063

Ventura County (805) 578-8550

NAVREET RAJU KAMDAR D.M.D.

Dentist

3605 ALAMO ST, SUITE 310
SIMI VALLEY, CA 93063

Ventura County (805) 526-3331

MARK THOMPSON PTA

Physical Therapy Assistant

3605 ALAMO ST, STE 100
SIMI VALLEY, CA 93063

Ventura County (805) 522-6577

MIA CAROL GREGORY

Behavior Technician

3605 ALAMO ST
SIMI VALLEY, CA 93063

Ventura County (805) 537-0620

DR. ARMOND AGHAKHANI

Dentist

3605 ALAMO ST, 310
SIMI VALLEY, CA 93063

Ventura County (805) 526-3331

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 Lakeside Medical Associates, A Medical Group, Inc.'s NPI number?

The NPI number for Lakeside Medical Associates, A Medical Group, Inc. is 1083879969. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is doing business as Lakeside Community Healthcare Medical Group.

Where is Lakeside Medical Associates, A Medical Group, Inc. located?

Lakeside Medical Associates, A Medical Group, Inc. is located at 3605 Alamo St Suite 100, Simi Valley, CA 93063. The listed phone number is (805) 522-6577.

What is Lakeside Medical Associates, A Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Associates, A Medical Group, Inc. was last updated on September 4, 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.