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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1639374069
Internal Medicine - Cardiovascular Disease in Sherman Oaks, CA

Active since June 16, 2007
4835 VAN NUYS BLVD, SUITE 114, SHERMAN OAKS, CA 91403(818) 783-0800(818) 783-0802 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 1639374069) is a healthcare organization registered as a cardiovascular disease in Sherman Oaks, California and active in the NPI registry since June 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1639374069
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address4835 VAN NUYS BLVD, SUITE 114Sherman Oaks, CA 91403-2109
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 783-0800
Fax(818) 783-0802
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJune 16, 2007
Last NPPES UpdateMay 6, 2009
✔ NPI 1639374069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4835 VAN NUYS BLVD, Sherman Oaks, CA 91403
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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 2

Medicaid1639374069CA
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.

NEIL HECHT, D.P.M
Durable Medical Equipment & Medical Supplies
4835 VAN NUYS BLVD, SUITE 108
SHERMAN OAKS, CA 91403
Los Angeles County (818) 990-2115
TERESA ANN CLAUS MD
Obstetrics & Gynecology (Gynecology)
4835 VAN NUYS BLVD, SUITE 208
SHERMAN OAKS, CA 91403
Los Angeles County (818) 905-1920
ALEXANDRA ENZOR PA-C
Physician Assistant
4835 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 572-1490
PHILIP CONWISAR MD INC.
Orthopaedic Surgery
4835 VAN NUYS BLVD, SUITE 210
SHERMAN OAKS, CA 91403
Los Angeles County (818) 784-1354
SHERMAN OAKS FAMILY MEDICINE INC
Family Medicine
4835 VAN NUYS BLVD, 208
SHERMAN OAKS, CA 91403
Los Angeles County (818) 981-9880
DR. JOSHUA DAVID CHRYSTAL NMD, DC
Chiropractor
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403
Los Angeles County (818) 785-2060
DR. DONNA MARIE CASHDAN DO
Family Medicine
4835 VAN NUYS BLVD, 208
SHERMAN OAKS, CA 91403
Los Angeles County (818) 981-9880
DR. RICHARD JOSEPH SARTE DPM INC
Podiatrist (Foot & Ankle Surgery)
4835 VAN NUYS BLVD, SUITE 216
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-5311

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 1639374069. 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 4835 Van Nuys Blvd Suite 114, Sherman Oaks, CA 91403. The listed phone number is (818) 783-0800.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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.