Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEAN L LAKE M.D.
NPI 1386686673
Psychiatry & Neurology - Neurology in Long Beach, CA

Q: What is Jean Lake's NPI number?

The NPI number for Jean Lake is 1386686673. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Jean Lake's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jean Lake was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2006PECOS Enrolled

2880 ATLANTIC AVE, 260, LONG BEACH, CA 90806(562) 490-3580(562) 490-3584 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jean L Lake M.d. NPPES

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

JEAN L LAKE M.D. (NPI 1386686673) is an individual neurology provider in Long Beach, California, licensed in California (G444387) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386686673

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameJEAN L LAKECredential: M.D.

Location Address2880 ATLANTIC AVE, 260Long Beach, CA 90806-1714

Mailing Address2880 Atlantic Ave, 260Long Beach, CA 90806-1714 · (562) 490-3580 · Fax (562) 490-3584

Phone(562) 490-3580

Fax(562) 490-3584

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1386686673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · G444387

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2880 ATLANTIC AVE, Long Beach, CA 90806

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean L Lake M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty