LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP - NPI 1538323993

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.

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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 1538323993) is a healthcare organization registered as a family medicine in Thousand Oaks, California and active in the NPI registry since July 2008. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1538323993

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

Location Address612 E JANSS RDThousand Oaks, CA 91360-5113

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

Phone(805) 373-0725

Fax(805) 373-0574

Organization SubpartNo

Authorized OfficialKerry E. WeinerPresident · (818) 637-2000

Enumeration DateJuly 15, 2008

Last NPPES UpdateSeptember 4, 2009

✔ NPI 1538323993 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 ListedPediatricsTaxonomy 208000000X

Also ListedNurse PractitionerTaxonomy 363L00000X

612 E JANSS RD, Thousand Oaks, CA 91360

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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERNA SILKY LI DON LISS MD

Family Medicine

612 E JANSS RD
THOUSAND OAKS, CA 91360

Ventura County (805) 373-0725

ROBERT BEHYAD BANIASADI PTA

Physical Therapy Assistant

612 E JANSS RD
THOUSAND OAKS, CA 91360

Ventura County (805) 373-0725

DR. FREDERICK STEPHEN LINDBERG MD

Family Medicine

612 E JANSS RD
THOUSAND OAKS, CA 91360

Ventura County (805) 373-0725

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 1538323993. It was assigned to this organization in the NPPES registry on July 15, 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 612 E Janss Rd, Thousand Oaks, CA 91360. The listed phone number is (805) 373-0725.

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 September 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.