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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1104087774
Family Medicine in Sherman Oaks, CA

Active since June 17, 2008
4955 VAN NUYS BLVD, SUITE 308, SHERMAN OAKS, CA 91403(818) 907-5088(818) 907-5891 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1104087774) is a healthcare organization registered as a family medicine in Sherman Oaks, California and active in the NPI registry since June 2008. The organization lists Kerry E Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1104087774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC
Location Address4955 VAN NUYS BLVD, SUITE 308Sherman Oaks, CA 91403-1811
Mailing Address777 Flower Street, Suite AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 907-5088
Fax(818) 907-5891
Organization SubpartNo
Authorized OfficialKerry E WeinerPresident · (818) 637-2000
Enumeration DateJune 17, 2008
Last NPPES UpdateMay 6, 2009
✔ NPI 1104087774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
4955 VAN NUYS BLVD, Sherman Oaks, CA 91403
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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 2

Medicaid1104087774CA
Medicare PINW12279CA

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.

MR. TOM VU DMD
Dentist
4955 VAN NUYS BLVD, SUITE #518
SHERMAN OAKS, CA 91403
Los Angeles County (818) 783-8891
ALI SHEYBANI MEDICAL INC.
Internal Medicine
4955 VAN NUYS BLVD, SUITE 405
SHERMAN OAKS, CA 91403
Los Angeles County (818) 464-4870
ANGELA CASTELLANO MD
Dermatology
4955 VAN NUYS BLVD, 516
SHERMAN OAKS, CA 91403
Los Angeles County (818) 789-6296
MRS. JABEEN FATIMA M.D
Family Medicine
4955 VAN NUYS BLVD, SUITE 415
SHERMAN OAKS, CA 91403
Los Angeles County (818) 528-1080
ARDENE J CUDIAMAT NP
Nurse Practitioner
4955 VAN NUYS BLVD, SUITE 411
SHERMAN OAKS, CA 91403
Los Angeles County (818) 784-7903
DR. DANIEL HEMMATI D.D.S.
Dentist (General Practice)
4955 VAN NUYS BLVD, 716
SHERMAN OAKS, CA 91403
Los Angeles County (661) 803-4699
LARISSE K LEE M.D.
Surgery (Vascular Surgery)
4955 VAN NUYS BLVD, SUITE 704
SHERMAN OAKS, CA 91403
Los Angeles County (818) 325-0400
ROBERT FELT, M.D., INC.
Family Medicine
4955 VAN NUYS BLVD, STE 322
SHERMAN OAKS, CA 91403
Los Angeles County (818) 788-8151

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 1104087774. It was assigned to this organization in the NPPES registry on June 17, 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 4955 Van Nuys Blvd Suite 308, Sherman Oaks, CA 91403. The listed phone number is (818) 907-5088.

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 May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.