LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1477758803
Urology in Northridge, CA

Active since June 16, 2007
18350 ROSCOE BLVD, SUITE 307, NORTHRIDGE, CA 91325(818) 886-3100(818) 718-0164 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 1477758803) is a healthcare organization registered as an urology in Northridge, California and active in the NPI registry since June 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1477758803
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address18350 ROSCOE BLVD, SUITE 307Northridge, CA 91325-4109
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Fax(818) 718-0164
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJune 16, 2007
Last NPPES UpdateMay 12, 2009
NPI 1477758803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

18350 ROSCOE BLVD, Northridge, CA 91325

Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 1

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.

Ophthalmology
18350 ROSCOE BLVD, SUITE 101
NORTHRIDGE, CA 91325
Clinic/Center (Ambulatory Surgical)
18350 ROSCOE BLVD, #318A
NORTHRIDGE, CA 91325
Internal Medicine
18350 ROSCOE BLVD, SUITE 514
NORTHRIDGE, CA 91325
Pharmacist
18350 ROSCOE BLVD
NORTHRIDGE, CA 91325
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Otolaryngology (Otology & Neurotology)
18350 ROSCOE BLVD, SUITE 518
NORTHRIDGE, CA 91325
Surgery
18350 ROSCOE BLVD, SUITE #200
NORTHRIDGE, CA 91325

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 1477758803. It was assigned to this organization in the NPPES registry on June 16, 2007. 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 18350 Roscoe Blvd Suite 307, Northridge, CA 91325. The listed phone number is (818) 886-3100.

What is Lakeside Medical Associates, A Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Associates, A Medical Group, Inc. was last updated on May 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.