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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1649475070
Family Medicine in Burbank, CA

Active since June 16, 2007
191 S BUENA VISTA ST, 2ND FLOOR, BURBANK, CA 91505(818) 524-2003(818) 524-2807 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 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 1649475070) is a healthcare organization registered as a family medicine in Burbank, California and active in the NPI registry since June 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1649475070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address191 S BUENA VISTA ST, 2ND FLOORBurbank, CA 91505-4504
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 524-2003
Fax(818) 524-2807
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJune 16, 2007
Last NPPES UpdateMay 11, 2009
✔ NPI 1649475070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedUrologyTaxonomy 208800000X
191 S BUENA VISTA ST, Burbank, CA 91505
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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

Medicaid1649475070CA
Medicare PINW12279
Medicare PINW12279BCA

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.

TRI DUY DAO M.D.
Family Medicine
191 S BUENA VISTA ST, SUITE 100
BURBANK, CA 91505
Los Angeles County (855) 723-3005
DR. DAVID AHDOOT MD
Obstetrics & Gynecology
191 S BUENA VISTA ST, SUITE 340
BURBANK, CA 91505
Los Angeles County (818) 559-7500
WILLIAM B STETSON M D A PROFESSIONAL CORPORATION
Orthopaedic Surgery
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Los Angeles County (808) 848-3030
DR. CHRISTOPHER SY LEE M.D., M.B.A
Orthopaedic Surgery (Sports Medicine)
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Los Angeles County (818) 848-3030
DR LIN LEMAY A PROFESSIONAL CORPORATION
Psychiatry & Neurology (Neurology)
191 S BUENA VISTA ST, STE 370
BURBANK, CA 91505
Los Angeles County (818) 558-7888
IRVIN S. BENOWITZ D.O.
Family Medicine (Geriatric Medicine)
191 S BUENA VISTA ST, STE. 420
BURBANK, CA 91505
Los Angeles County (818) 557-7399
BRENDA ACEVES
Nurse Practitioner (Family)
191 S BUENA VISTA ST
BURBANK, CA 91505
Los Angeles County (818) 557-2671
ANN GROSCH HA 8179
Audiologist-Hearing Aid Fitter
191 S BUENA VISTA ST, SUITE 320-A
BURBANK, CA 91505
Los Angeles County (818) 559-9580

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 1649475070. 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 191 S Buena Vista St 2nd Floor, Burbank, CA 91505. The listed phone number is (818) 524-2003.

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 May 11, 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.