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LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1851409874
Internal Medicine - Rheumatology in Glendale, CA

Active since August 29, 2006
222 W EULALIA ST, SUITE 200, GLENDALE, CA 91204(818) 291-4010(818) 291-4058 Get Directions Write a Review

NPPES record last updated: May 12, 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 1851409874) is a healthcare organization registered as a rheumatology in Glendale, California and active in the NPI registry since August 2006. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1851409874
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address222 W EULALIA ST, SUITE 200Glendale, CA 91204-2849
Mailing Address777 Flower St, Suite AGlendale, CA 91201-3015 · (818) 637-2000 · Fax (818) 242-8761
Phone(818) 291-4010
Fax(818) 291-4058
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 12, 2009
✔ NPI 1851409874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
222 W EULALIA ST, Glendale, CA 91204
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Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

MedicaidGR0068387CA
Medicare PINW12279ACA
Medicare PINW12279

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.

GLENDALE PREMIER MEDICAL GROUP
Family Medicine
222 W EULALIA ST, #201
GLENDALE, CA 91204
Los Angeles County (818) 240-0601
GLENDALE ORTHOPAEDICS INC.
Orthopaedic Surgery
222 W EULALIA ST, SUITE 300
GLENDALE, CA 91204
Los Angeles County (818) 547-0608
DENA RAFIQ NASIR MD
Colon & Rectal Surgery
222 W EULALIA ST
GLENDALE, CA 91204
Los Angeles County (818) 730-3726
MS. MICHELLE DEWINDT P.A.-C
Physician Assistant (Medical)
222 W EULALIA ST, SUITE 200
GLENDALE, CA 91204
Los Angeles County (818) 956-8582
DR. LYDIA S BANGTSON PH.D.
Psychologist (Clinical)
222 W EULALIA ST, SUITE 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108
ROBERT BEART M.D.
Colon & Rectal Surgery
222 W EULALIA ST, SUITE 100A
GLENDALE, CA 91204
Los Angeles County (818) 244-8161
MS. MERCEDES F. MARUSCAK N.P.
Internal Medicine (Hematology & Oncology)
222 W EULALIA ST, 100-B
GLENDALE, CA 91204
Los Angeles County (818) 637-7611
MR. RAY BURTON BLOSS III PA-C
Physician Assistant
222 W EULALIA ST, SUITE #101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800

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 1851409874. It was assigned to this organization in the NPPES registry on August 29, 2006. 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 222 W Eulalia St Suite 200, Glendale, CA 91204. The listed phone number is (818) 291-4010.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Associates, A Medical Group, Inc. was last updated on May 12, 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.