LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. (NPI# 1639374069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639374069 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. |
| Other Organization Name | LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP |
| Practice Address |
4835 Van Nuys Blvd Suite 114 Sherman Oaks CA 91403-2109 |
| Mailing Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Practice Telephone | 8187830800 |
| Practice Fax Number | 8187830802 |
| Mailing Telephone | 8186372000 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2007-06-16 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1639374069 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeside Community Healthcare Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072339 | Lakeside Medical Associates, A Medical Group, Inc. | Obstetrics & Gynecology | 7345 Medical Center Drive, Suite 500, West Hills, CA 91307-1964 | 2008-08-07 |
| 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 |
| 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 |
4835 VAN NUYS BLVD SUITE 114 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005297 | Jane H Frey | Specialist | 4835 Van Nuys Blvd, Ste 215, Sherman Oaks, CA 91403-2146 | 2005-07-01 |
| 1588028625 | Sherman Oaks Integrated Medical Group, Inc. | Internal Medicine | 4835 Van Nuys Blvd, Suite 105, Sherman Oaks, CA 91403-2109 | 2016-04-05 |
| 1972964385 | Bryce Matthews, D.c., Chiropractic, Inc. | Chiropractor | 4835 Van Nuys Blvd, Suite 105, Sherman Oaks, CA 91403-2109 | 2016-03-11 |
| 1043670466 | Stella Wohlfarth | Registered Nurse | 4835 Van Nuys Blvd, Suite 103, Sherman Oaks, CA 91403 | 2016-02-26 |
| 1912387648 | Margaret Noel Zepfel | Chiropractor | 4835 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-2109 | 2015-06-08 |
| 1548657232 | Margaret N. Zepfel, Dc | Point of Service | 4835 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-2109 | 2015-04-20 |
| 1184907123 | Philip Conwisar Md Inc. | Orthopaedic Surgery | 4835 Van Nuys Blvd, Suite 210, Sherman Oaks, CA 91403-2109 | 2011-09-26 |
| 1306153705 | Joshua David Chrystal | Chiropractor | 4835 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-2109 | 2010-09-07 |
| 1114109469 | Neil Hecht, D.p.m | Durable Medical Equipment & Medical Supplies | 4835 Van Nuys Blvd, Suite 108, Sherman Oaks, CA 91403 | 2007-11-28 |
| 1932389988 | Andrew Kochan Md A Professional Corporation | Clinic/Center | 4835 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-2109 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654661 | Alagiriswami Venkatesh | Internal Medicine | 4521 Sherman Oaks Ave, Suite 1a, Sherman Oaks, CA 91403-3807 | 2006-05-11 |
| 1255334769 | Roger C On | Internal Medicine | 4835 Van Nuys Blvd Ste 208, Sherman Oaks, CA 91403-2142 | 2005-05-30 |
| 1295026482 | Vahan Koshkaryan | Internal Medicine | 4955 Van Nuys Blvd, Ste 308, Sherman Oaks, CA 91403-1801 | 2011-04-22 |
| 1265751226 | Stanley Chou | Internal Medicine | 4955 Van Nuys Blvd, Ste 308, Sherman Oaks, CA 91403-1801 | 2010-05-28 |
| 1972836252 | Epic Cardiology | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2009-09-17 |
| 1578792008 | Shivdyal Singh, Md., Inc. | Internal Medicine | 4955 Van Nuys Blvd, Suite # 719, Sherman Oaks, CA 91403-1801 | 2009-07-06 |
| 1659576544 | Sundeep Bhatia | Internal Medicine | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1700 | 2007-06-19 |
| 1336262906 | J. Nathan Rubin, M.d., F.a.c.c., Inc. | Internal Medicine | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 | 2007-04-09 |
| 1043299654 | Sherman Oaks Cardiology Associates | Internal Medicine | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 | 2006-01-11 |
| 1437151180 | Jacob Nathan Rubin | Internal Medicine | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 | 2005-08-12 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC..
| 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.