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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1104001288
Internal Medicine - Cardiovascular Disease in Glendale, CA

Active since January 08, 2008
1500 S CENTRAL AVE, SUITE 320, GLENDALE, CA 91204(818) 247-3708(818) 547-3146 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1104001288) is a healthcare organization registered as a cardiovascular disease in Glendale, California and active in the NPI registry since January 2008. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1104001288
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address1500 S CENTRAL AVE, SUITE 320Glendale, CA 91204-2530
Mailing Address777 Flower St, Suite AGlendale, CA 91201-3015 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 247-3708
Fax(818) 547-3146
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJanuary 8, 2008
Last NPPES UpdateMay 11, 2009
✔ NPI 1104001288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1500 S CENTRAL AVE, Glendale, CA 91204
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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 20

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

SARKIS A KAAKIJIAN M D INC
Internal Medicine
1500 S CENTRAL AVE, SUITE 318
GLENDALE, CA 91204
Los Angeles County (818) 548-5437
WESTERN PODMED CLINIC INC A PODIATRIC CORPORATION
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, 101
GLENDALE, CA 91204
Los Angeles County (818) 243-0400
CESAR A CALDERA MD INC
Clinic/Center
1500 S CENTRAL AVE, STE 125
GLENDALE, CA 91204
Los Angeles County (818) 502-1160
RAFFI R. MINASIAN, M.D., A MEDICAL CORPORATION
Internal Medicine (Nephrology)
1500 S CENTRAL AVE, SUITE 221
GLENDALE, CA 91204
Los Angeles County (818) 242-0475
WESTERN PODMED CLINIC INC
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, SUITE 323
GLENDALE, CA 91204
Los Angeles County (818) 243-0400
RAFFI R MINASIAN MD
Internal Medicine (Nephrology)
1500 S CENTRAL AVE, SUITE300
GLENDALE, CA 91204
Los Angeles County (818) 242-0475
WESTERN PODMED CLINIC INC
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, STE 323
GLENDALE, CA 91204
Los Angeles County (818) 243-0400
DR. EMMANUEL CORREA LUNA M.D.
Family Medicine
1500 S CENTRAL AVE, SUITE 321
GLENDALE, CA 91204
Los Angeles County (818) 500-0880

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 1104001288. It was assigned to this organization in the NPPES registry on January 8, 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 1500 S Central Ave Suite 320, Glendale, CA 91204. The listed phone number is (818) 247-3708.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Associates, A Medical Group, Inc. was last updated on May 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.