LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1689874596
Family Medicine in Burbank, CA

Active since July 19, 2007
191 S BUENA VISTA ST, SUITE 150, BURBANK, CA 91505(818) 295-5920(818) 295-6965 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1689874596) is a healthcare organization registered as a family medicine in Burbank, California and active in the NPI registry since July 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1689874596
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address191 S BUENA VISTA ST, SUITE 150Burbank, CA 91505-4554
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Fax(818) 295-6965
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 27, 2009
NPI 1689874596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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 ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
191 S BUENA VISTA ST, Burbank, CA 91505

Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

MedicaidGR006838ACA
Medicare PINW12279BCA
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.

Family Medicine
191 S BUENA VISTA ST, SUITE 100
BURBANK, CA 91505
Obstetrics & Gynecology
191 S BUENA VISTA ST, SUITE 340
BURBANK, CA 91505
Orthopaedic Surgery
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Orthopaedic Surgery (Sports Medicine)
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Psychiatry & Neurology (Neurology)
191 S BUENA VISTA ST, STE 370
BURBANK, CA 91505
Family Medicine (Geriatric Medicine)
191 S BUENA VISTA ST, STE. 420
BURBANK, CA 91505
Nurse Practitioner (Family)
191 S BUENA VISTA ST
BURBANK, CA 91505
Audiologist-Hearing Aid Fitter
191 S BUENA VISTA ST, SUITE 320-A
BURBANK, CA 91505

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 1689874596. It was assigned to this organization in the NPPES registry on July 19, 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 Suite 150, Burbank, CA 91505. The listed phone number is (818) 295-5920.

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 October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.