LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. (NPI# 1104072339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104072339 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. |
| Other Organization Name | LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP |
| Practice Address |
7345 Medical Center Drive Suite 500 West Hills CA 91307-1964 |
| Mailing Address |
777 Flower Street Suite A Glendale CA 91201-3000 |
| Practice Telephone | 8183486200 |
| Practice Fax Number | 8183486233 |
| Mailing Telephone | 8186372000 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | KERRY E. WEINER (PRESIDENT) |
| Authorized Official Telephone | 8186372000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeside Community Healthcare Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667857 | Lakeside Medical Associates, A Medical Group, Inc. | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 440, Burbank, CA 91505-4504 | 2008-07-21 |
| 1801051784 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2008-07-21 |
| 1083879969 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 3605 Alamo St, Suite 100, Simi Valley, CA 93063-2186 | 2008-07-21 |
| 1538323993 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 | 2008-07-15 |
| 1104001288 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 1500 S Central Ave, Suite 320, Glendale, CA 91204-2530 | 2008-01-08 |
| 1689869760 | Lakeside Medical Associates, A Medical Group, Inc. | Family Medicine | 12660 Riverside Dr, Suite 225, N Hollywood, CA 91607-3429 | 2007-09-11 |
| 1689874596 | Lakeside Medical Associates, A Medical Group, Inc. | Emergency Medicine | 191 S Buena Vista St, Suite 150, Burbank, CA 91505-4554 | 2007-07-19 |
| 1639374069 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 4835 Van Nuys Blvd, Suite 114, Sherman Oaks, CA 91403-2109 | 2007-06-16 |
| 1659576072 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 1500 S Central Ave, Suite 326, Glendale, CA 91204-2530 | 2007-06-16 |
| 1487859815 | Lakeside Medical Associates, A Medical Group, Inc. | Urology | 25775 Mcbean Pkwy, Suite 107, Valencia, CA 91355-3708 | 2007-06-16 |
| Street Address |
7345 MEDICAL CENTER DRIVE SUITE 500 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708289 | Robert Martin Miller | Dermatology | 7345 Medical Center Drive, Suite 160, West Hills, CA 91307-1952 | 2005-11-22 |
| 1942486816 | C/v Ent Surgical Group | Otolaryngology | 7345 Medical Center Drive, Suite 510, West Hills, CA 91307-1929 | 2008-01-10 |
| 1932235355 | Rohina Furmuly | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1506 | 2007-02-27 |
| 1154499176 | Beth Meryl Melin Perel | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-11-30 |
| 1770658049 | Michael Paul Melman | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-11-22 |
| 1447325758 | Sandra I Baik | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-11-21 |
| 1184799496 | Martin Fineberg | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-11-21 |
| 1174698484 | Mark Gregg Snyder | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-11-21 |
| 1336230366 | Jerome D Vener | Otolaryngology | 7345 Medical Center Drive, Suite 510, West Hills, CA 91307-1929 | 2006-09-27 |
| 1053410506 | Pediatric Affiliates Medical Group Inc | Pediatrics | 7345 Medical Center Drive, Suite 400, West Hills, CA 91307-1963 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
| Find all providers in zip 91307 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519803 | Naghmeh Khodai | Obstetrics & Gynecology | 23101 Sherman Pl Ste 300, West Hills, CA 91307-2003 | 2008-05-31 |
| 1124035688 | Gary D Ott | Obstetrics & Gynecology | 7230 Medical Center Dr Ste 204, West Hills, CA 91307-4005 | 2006-08-01 |
| 1962437541 | Rafik Latif | Obstetrics & Gynecology | 7600 Ashton Ct, West Hills, CA 91304-5263 | 2006-07-11 |
| 1366417503 | Steven Freedman | Obstetrics & Gynecology | 23101 Sherman Pl., Suite 301, West Hills, CA 91307 | 2006-02-21 |
| 1053954198 | Marlene Kalouyan Md Inc | Obstetrics & Gynecology | 23101 Sherman Pl Ste 301, West Hills, CA 91307-2010 | 2019-10-22 |
| 1497397012 | Noushafarin Salehi Md Inc | Obstetrics & Gynecology | 23101 Sherman Pl Ste 301, West Hills, CA 91307-2010 | 2019-10-15 |
| 1114401106 | Premier Women's Health Associates | Obstetrics & Gynecology | 7230 Medical Center Dr, West Hills, CA 91307-1907 | 2018-09-17 |
| 1750739777 | Drs Hyman & Tio A Partnership for Womens Health | Obstetrics & Gynecology | 7320 Woodlake Ave, 280, West Hills, CA 91307-1468 | 2016-05-31 |
| 1366871758 | Naghmeh Khodai Md Inc | Obstetrics & Gynecology | 23101 Sherman Pl Ste 301, West Hills, CA 91307-2010 | 2013-11-06 |
| 1700144565 | Marlene Kalouyan | Obstetrics & Gynecology | 23101 Sherman Pl Ste 301, West Hills, CA 91307-2010 | 2012-04-30 |
| Find all providers in WEST HILLS | ||||
| City | WEST HILLS |
| Zip Code | 91307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.