LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. (NPI# 1659576072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659576072 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. |
| Other Organization Name | LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP |
| Practice Address |
1500 S Central Ave Suite 326 Glendale CA 91204-2530 |
| Mailing Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Practice Telephone | 8189568582 |
| Practice Fax Number | 8189560329 |
| Mailing Telephone | 8186372000 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2009-05-11 |
| 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 | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006838C | 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 |
| 1639374069 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 4835 Van Nuys Blvd, Suite 114, Sherman Oaks, CA 91403-2109 | 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 |
1500 S CENTRAL AVE SUITE 326 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088459 | Serena A Tu | Pediatrics | 1500 S Central Ave, Suite 100, Glendale, CA 91204-2530 | 2006-01-19 |
| 1427509033 | Interventional Spine Care & Orthopedic Regenerative Experts | Physical Medicine & Rehabilitation | 1500 S Central Ave, Suite 101, Glendale, CA 91204-2530 | 2016-10-18 |
| 1215298286 | Western Podmed Clinic Inc | Podiatrist | 1500 S Central Ave, Suite 323, Glendale, CA 91204-3858 | 2012-06-06 |
| 1811261266 | Anahit Hovhannisyan | Nutritionist | 1500 S Central Ave, 321, Glendale, CA 91204-2530 | 2012-03-02 |
| 1801185095 | Danny Zaghi | Internal Medicine | 1500 S Central Ave, Ste 200, Glendale, CA 91204-2530 | 2011-03-29 |
| 1831406768 | Janet Aleksanyan | Registered Nurse | 1500 S Central Ave, Suite 322, Glendale, CA 91204-2530 | 2010-09-14 |
| 1376857276 | Claudia Dominguez | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-03 |
| 1386958353 | Satindar Dua | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-02 |
| 1538488333 | Melina Karabetyan Sukyas | Physician Assistant | 1500 S Central Ave, Suite 300, Glendale, CA 91204-2530 | 2010-05-19 |
| 1457675324 | Jon I. Sattler, M.d., Inc. | Plastic Surgery | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2010-03-22 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1437412905 | Adventist Health Physicians Network | Internal Medicine | 544 N Glendale Ave Ste B, Glendale, CA 91206-3311 | 2012-06-20 |
| 1790975886 | Eliana Y Berger | Internal Medicine | 1500 S Central Ave Ste 200, Glendale, CA 91204-3853 | 2007-07-26 |
| 1497829659 | Sura Sharqe Endocrinology, Inc | Internal Medicine | 6525 W. Sack Drive, #204, Glendale, AZ 85308 | 2006-11-20 |
| 1194827782 | Leon Kujmanian | Internal Medicine | 1146 N. Central Avenue, #522, Glendale, CA 91202 | 2006-09-02 |
| 1093736209 | Jordan A. Sennett | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2006-07-22 |
| 1598720641 | Universal Primary Care | Internal Medicine | 801 South Chevy Chase Dr, #102, Glendale, CA 91205 | 2006-04-20 |
| 1346758653 | Arizona Endocrinology & Diabetes Clinic Inc | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2018-01-21 |
| 1902148380 | Leonid Vydro | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2013-03-22 |
| 1902075203 | Diabetes & Endocrinology Center, Inc. | Internal Medicine | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2008-02-21 |
| 1003005893 | Endocrinology, Diabetes, and Thyroid Center of Arizona Pllc | Internal Medicine | 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308-5125 | 2007-10-17 |
| Find all providers in GLENDALE | ||||
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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.