LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1659576072
Internal Medicine - Endocrinology, Diabetes & Metabolism in Glendale, CA

Active since June 16, 2007
1500 S CENTRAL AVE, SUITE 326, GLENDALE, CA 91204(818) 956-8582(818) 956-0329 Get Directions Write a Review

NPPES record last updated: May 11, 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 1659576072) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Glendale, California and active in the NPI registry since June 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1659576072
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address1500 S CENTRAL AVE, SUITE 326Glendale, CA 91204-2530
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Fax(818) 956-0329
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJune 16, 2007
Last NPPES UpdateMay 11, 2009
NPI 1659576072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1500 S CENTRAL AVE, Glendale, CA 91204

Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

Medicare PINW12279ACA
Medicare PINW12279
MedicaidGR006838CCA

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.

Internal Medicine
1500 S CENTRAL AVE, SUITE 318
GLENDALE, CA 91204
Internal Medicine (Cardiovascular Disease)
1500 S CENTRAL AVE, SUITE 320
GLENDALE, CA 91204
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, 101
GLENDALE, CA 91204
Clinic/Center
1500 S CENTRAL AVE, STE 125
GLENDALE, CA 91204
Internal Medicine (Nephrology)
1500 S CENTRAL AVE, SUITE 221
GLENDALE, CA 91204
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, SUITE 323
GLENDALE, CA 91204
Internal Medicine (Nephrology)
1500 S CENTRAL AVE, SUITE300
GLENDALE, CA 91204
Podiatrist (Foot & Ankle Surgery)
1500 S CENTRAL AVE, STE 323
GLENDALE, CA 91204

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 1659576072. 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 1500 S Central Ave Suite 326, Glendale, CA 91204. The listed phone number is (818) 956-8582.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.