LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1396869970
Pediatrics in Santa Clarita, CA

NPI Status: Active since March 19, 2007

Contact Information

24355 LYONS AVE
SUITE 222
SANTA CLARITA, CA
ZIP 91321
Phone: (661) 222-9381
Fax: (661) 222-7343

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  • Organization
  • Pediatrics

About LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP

Lakeside Community Healthcare Medical Group is a pediatrician established in Santa Clarita, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1396869970 assigned on March 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Lakeside Community Healthcare Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lakeside Community Healthcare Medical Group. The authorized official of this NPI record is Kerry E. Weiner M.d. (President)

NPI
1396869970
Provider Legal Name
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Other Organization Name
LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24355 LYONS AVE SUITE 222 SANTA CLARITA, CA 91321
Location Phone
(661) 222-9381
Location Fax
(661) 222-7343
Mailing Address
777 FLOWER ST SUITE A GLENDALE, CA 91201
Mailing Phone
(818) 637-2000
Mailing Fax
(661) 222-7343
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
05-11-2009
Code Navigator

A pediatrician like Lakeside Community Healthcare Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KERRY E. WEINER M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 637-2000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W12279MEDICARE PIN (08) 
W12279DMEDICARE PIN (08)CA 
GR006838BMEDICAID (05)CA 

Reviews for LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396869970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318616618914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 6 + 6 + 1 + 8 + 9 + 1 + 4 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396869970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710981626DR. JAMES P. DE LA FLOR M.D.
Individual
Internal Medicine24355 LYONS AVE STE 210
SANTA CLARITA, CA 91321
(661) 222-9381
1699770636DR. LARRY M SHERMAN M.D.
Individual
Pediatrics24355 LYONS AVE STE 210
SANTA CLARITA, CA 91321
(661) 222-9381
1558353011DR. ROBERT JAMES ABRAMS DPM
Individual
Podiatrist24355 LYONS AVE STE. 105
SANTA CLARITA, CA 91321
(661) 253-3668
1619944501 MIGUEL WILLIAMS M.D.
Individual
Anesthesiology24355 LYONS AVE
SANTA CLARITA, CA 91321
(661) 255-6644
1346217114 PAUL BENNETT M.D.
Individual
Anesthesiology24355 LYONS AVE STE.#120
SANTA CLARITA, CA 91321
(661) 255-6644
1407825532 CHRISTOPHER KIM M.D.
Individual
Anesthesiology24355 LYONS AVE STE.#120
SANTA CLARITA, CA 91321
(661) 255-6644
1316908510PAUL R BENNETT M D INC
Organization
Anesthesiology24355 LYONS AVE STE. #120
SANTA CLARITA, CA 91321
(661) 255-6644
1659317634LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Organization
Family Medicine24355 LYONS AVE SUITE 210
SANTA CLARITA, CA 91321
(661) 222-9381
1215018502DR. GREGORY DEAN JENKINS M.D.
Individual
Family Medicine24355 LYONS AVE #130
NEWHALL, CA 91321
(661) 255-9440
1770709479 STEVE BAUMGARTNER PT
Individual
Physical Therapist24355 LYONS AVE SUITE 100
SANTA CLARITA, CA 91321
(661) 290-2884
1710186416BENJAMIN LI, M.D., INC
Organization
Anesthesiology24355 LYONS AVE STE.# 120
SANTA CLARITA, CA 91321
(661) 255-6644
1225237464K D LEWIS ANESTHESIA INC
Organization
Anesthesiology24355 LYONS AVE STE. #120
SANTA CLARITA, CA 91321
(661) 255-6644
1588856215PETER NICOLAZZO, M.D., INC
Organization
Anesthesiology24355 LYONS AVE STE.# 120
SANTA CLARITA, CA 91321
(661) 255-6644
1093903494MEHDI MERATEE MD INC
Organization
Psychiatry & Neurology (Diagnostic Neuroimaging)24355 LYONS AVE 214
SANTA CLARITA, CA 91321
(661) 253-4900
1548458870MR. WILLIAM J. QUINN PA-C
Individual
Physician Assistant24355 LYONS AVE SUITE 130
SANTA CLARITA, CA 91321
(661) 255-9440
1629364989BAUMGARTNER PHYSICAL THERAPY INC
Organization
Physical Therapist24355 LYONS AVE SUITE 100
SANTA CLARITA, CA 91321
(661) 290-2884
1447441712VISTA VILLAGE DENTAL
Organization
Dentist24355 LYONS AVE STE 212
SANTA CLARITA, CA 91321
(661) 259-5001
1063838217MRS. VALERIE JEAN MALINOSKI N.P.
Individual
Nurse Practitioner (Family)24355 LYONS AVE
SANTA CLARITA, CA 91321
(661) 255-9355
1265599815 WILLIAM DENNIS PAGLIANO
Individual
Podiatrist24355 LYONS AVE 110
NEWHALL, CA 91321
(661) 255-6258
1477516276C CHRISTOPHER KIM M D A PROF CORP
Organization
Anesthesiology24355 LYONS AVE STE.# 120
SANTA CLARITA, CA 91321
(661) 255-6644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396869970, enumerated in the NPI registry as an "organization" on March 19, 2007

The provider is located at 24355 Lyons Ave Suite 222 Santa Clarita, Ca 91321 and the phone number is (661) 222-9381

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.