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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1275579252
Family Medicine in Van Nuys, CA

Active since June 20, 2006
15211 VANOWEN ST, SUITE 206, VAN NUYS, CA 91405(818) 376-1155(818) 376-0011 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 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 1275579252) is a healthcare organization registered as a family medicine in Van Nuys, California and active in the NPI registry since June 2006. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1275579252
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address15211 VANOWEN ST, SUITE 206Van Nuys, CA 91405-3606
Mailing Address777 Flower St, Suite AGlendale, CA 91201-3015 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 376-1155
Fax(818) 376-0011
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 6, 2009
✔ NPI 1275579252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedNurse PractitionerTaxonomy 363L00000X
15211 VANOWEN ST, Van Nuys, CA 91405
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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

Medicare PINW12279CA
Medicare PINW12279FCA
MedicaidGR0068385CA

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.

MATTHEW G MISCHEL M.D.
Internal Medicine
15211 VANOWEN ST, SUITE 315
VAN NUYS, CA 91405
Los Angeles County (818) 787-2410
THOMAS J LOMIS M.D.
Surgery (Surgical Oncology)
15211 VANOWEN ST, SUITE 208
VAN NUYS, CA 91405
Los Angeles County (818) 782-3255
PHYSICIANS PATHOLOGY SERVICES, INC.
Clinical Medical Laboratory
15211 VANOWEN ST, SUITE 303
VAN NUYS, CA 91405
Los Angeles County (818) 780-3242
JANESRI DE SILVA, MD A PROF CORP
Pediatrics
15211 VANOWEN ST, SUITE 102
VAN NUYS, CA 91405
Los Angeles County (818) 782-7600
ABIMBOLA A POPOOLA N.P.
Nurse Practitioner
15211 VANOWEN ST, #209
VAN NUYS, CA 91405
Los Angeles County (818) 997-1888
DR. LAWRENCE LYONS MENZER M.D.
Specialist
15211 VANOWEN ST, 310
VAN NUYS, CA 91405
Los Angeles County (818) 988-3373
EMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC.
Internal Medicine
15211 VANOWEN ST, SUITE 105
VAN NUYS, CA 91405
Los Angeles County (818) 997-7711
APRIL L WARSTLER PA-C
Physician Assistant
15211 VANOWEN ST, SUITE 105
VAN NUYS, CA 91405
Los Angeles County (818) 997-7711

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 1275579252. It was assigned to this organization in the NPPES registry on June 20, 2006. 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 15211 Vanowen St Suite 206, Van Nuys, CA 91405. The listed phone number is (818) 376-1155.

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.