LAKE MEDICAL CENTER, INC.
NPI 1689863714
Psychiatry & Neurology - Neurology in San Marcos, CA

Q: What is Lake Medical Center, Inc.'s NPI number?

The NPI number for Lake Medical Center, Inc. is 1689863714. It was assigned to this organization in the NPPES registry on October 15, 2007.

Q: What is Lake Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since October 15, 2007

1146 SAN MARINO DR, SAN MARCOS, CA 92078(760) 471-2033(760) 471-2083 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MEDICAL CENTER, INC. (NPI 1689863714) is a healthcare organization registered as a neurology in San Marcos, California and active in the NPI registry since October 2007. The organization lists Michael Shack, President, as its authorized official.

NPPES Registry Identity

NPI1689863714

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameLAKE MEDICAL CENTER, INC.

Location Address1146 SAN MARINO DRSan Marcos, CA 92078-4649

Mailing Address1146 San Marino DrSan Marcos, CA 92078-4649 · (760) 471-2033 · Fax (760) 471-2083

Phone(760) 471-2033

Fax(760) 471-2083

Organization SubpartNo

Authorized OfficialMichael ShackPresident · (760) 471-2033

Enumeration DateOctober 15, 2007

✔ NPI 1689863714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · G26382

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedChiropractorTaxonomy 111N00000X · License DC17617 (CA)

1146 SAN MARINO DR, San Marcos, CA 92078

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Other Identifiers 5

Medicare PING26382CA

Medicare UPINA42992CA

Medicare PINDC17616CA

Medicare PINDC17419CA

Medicare PINDC17617CA

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 9

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

DR. JILL ELLEN ANNA MAUSER DC

Chiropractor