LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1205002862
Family Medicine in Glendale, 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 May 05, 2008

1510 S CENTRAL AVE, SUITE 300, GLENDALE, CA 91204(818) 254-1511(818) 254-1500 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 1205002862) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since May 2008. The organization lists Kerry Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1205002862

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC.

Location Address1510 S CENTRAL AVE, SUITE 300Glendale, CA 91204-2500

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

Phone(818) 254-1511

Fax(818) 254-1500

Organization SubpartNo

Authorized OfficialKerry WeinerPresident · (818) 637-2000

Enumeration DateMay 5, 2008

Last NPPES UpdateMay 11, 2009

✔ NPI 1205002862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedGeneral PracticeTaxonomy 208D00000X

1510 S CENTRAL AVE, Glendale, CA 91204

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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 2

Medicaid1205002862CA

Medicare PINW12279

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.

WILLIAM W LOEBMAN, M.D., INC

Specialist

1510 S CENTRAL AVE, #600
GLENDALE, CA 91204

Los Angeles County (818) 500-1676

KAYICHIAN DESPINA, M.D., INC

Internal Medicine (Nephrology)

1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204

Los Angeles County (818) 241-7628

FOWROOZ JOOLHAR M.D. A MEDICAL CORP

Internal Medicine (Cardiovascular Disease)

1510 S CENTRAL AVE, SUITE 650
GLENDALE, CA 91204

Los Angeles County (818) 552-5010

RENOLOGY MEDICAL GROUP

Internal Medicine (Nephrology)

1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204

Los Angeles County (818) 956-2111

JITTIMA JIRASETPATANA D.P.M.

Podiatrist

1510 S CENTRAL AVE, SUITE 120
GLENDALE, CA 91204

Los Angeles County (818) 242-3668

DR. RICHARD W SUDA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1510 S CENTRAL AVE, SUITE 530
GLENDALE, CA 91204

Los Angeles County (818) 244-4374

MARDI H. MIHRANIAN

Specialist

1510 S CENTRAL AVE, SUITE 100
GLENDALE, CA 91204

Los Angeles County (818) 240-1820

DR. ARAM B KARAKASHIAN MD

Family Medicine

1510 S CENTRAL AVE, SUITE 130
GLENDALE, CA 91204

Los Angeles County (818) 247-3965

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 1205002862. It was assigned to this organization in the NPPES registry on May 5, 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 1510 S Central Ave Suite 300, Glendale, CA 91204. The listed phone number is (818) 254-1511.

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 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.