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NORTH LAKE PEDIATRICS MEDICAL GROUP, INC.
NPI 1700967460
Pediatrics in Truckee, CA

Active since October 18, 2006
10956 DONNER PASS RD STE 130, TRUCKEE, CA 96161(530) 587-3523(530) 587-1004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Lake Pediatrics Medical Group, Inc. NPPES

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

NORTH LAKE PEDIATRICS MEDICAL GROUP, INC. (NPI 1700967460) is a healthcare organization registered as a pediatrics in Truckee, California and active in the NPI registry since October 2006. The organization lists Christine Jacobs, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700967460
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTH LAKE PEDIATRICS MEDICAL GROUP, INC.
Location Address10956 DONNER PASS RD STE 130Truckee, CA 96161-4860
Mailing Address10956 Donner Pass Rd Ste 130Truckee, CA 96161-4860 · (530) 587-3523 · Fax (530) 587-1004
Phone(530) 587-3523
Fax(530) 587-1004
Organization SubpartNo
Authorized OfficialChristine JacobsOffice Manager · (530) 582-6190
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700967460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G35475
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10956 DONNER PASS RD STE 130, Truckee, CA 96161
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Other Identifiers 3

MedicaidGR0075020CA
OtherZHCPP486CA · Blue Cross Provider Numbe
OtherZZZ52949ZCA · Blue Shield Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JOCELYN LYBARGER PA-C
Physician Assistant
10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
Placer County (530) 582-6400

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 North Lake Pediatrics Medical Group, Inc.'s NPI number?

The NPI number for North Lake Pediatrics Medical Group, Inc. is 1700967460. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is North Lake Pediatrics Medical Group, Inc. located?

North Lake Pediatrics Medical Group, Inc. is located at 10956 Donner Pass Rd Ste 130, Truckee, CA 96161. The listed phone number is (530) 587-3523.

What is North Lake Pediatrics Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for North Lake Pediatrics Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.