LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. (NPI# 1932129434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932129434 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. |
| Other Organization Name | LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP |
| Practice Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Practice Telephone | 8186372000 |
| Practice Fax Number | 8182428761 |
| Mailing Telephone | 8185526230 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DR. 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | CA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0068380 | 05 | |
| CA | GR0068388 | 05 | |
| CA | GR0068381 | 05 | |
| CA | GR0068386 | 05 | |
| CA | GR0068382 | 05 | |
| CA | GR0068384 | 05 | |
| CA | GR0068387 | 05 | |
| CA | GR006838A | 05 | |
| CA | GR006838B | 05 | |
| CA | GR0068383 | 05 | |
| CA | GR0068385 | 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 |
| 1659576072 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 1500 S Central Ave, Suite 326, Glendale, CA 91204-2530 | 2007-06-16 |
| Street Address |
777 FLOWER ST STE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881430 | Patricia Sue Hester | Nurse Practitioner | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2005-06-17 |
| 1073647434 | Lakeside Medical Group, Inc. | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1003940479 | Verdugo Hills Medical Group, Ipa | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1497886220 | Rimma Shaposhnikov | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-07 |
| 1780762567 | Michael Chulman | Surgery | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-11-01 |
| 1568550317 | Phyllis Ross | Physician Assistant | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-10-10 |
| 1063454510 | Mehdi Razeghi | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-06-11 |
| 1154373660 | Shivani Shah | Obstetrics & Gynecology | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-16 |
| 1306895412 | Edmund O Pascual | Pediatrics | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-08 |
| 1083662340 | Beata Anna Wicherski | Pediatrics | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-05 |
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|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811421852 | Alex Shen | Hospitalist | 4426 W Oraibi Dr, Glendale, AZ 85308-7320 | 2017-04-17 |
| 1922085018 | James G Napoli | Hospitalist | 18701 N 67 Ave, Arrowhead Community Hospital, Glendale, AZ 85308-7101 | 2005-12-29 |
| 1811520224 | Willow Brook Critical Care Medical Group, Inc | Hospitalist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2020-02-14 |
| 1245799279 | Cedar Springs Hospitalist Medical Group, Inc. | Hospitalist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2019-03-19 |
| 1447726849 | Edvin Dilanchiyan Md Inc | Hospitalist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-10-23 |
| 1427565506 | Glendale Hospitalist Medical Group Inc | Hospitalist | 1509 Wilson Ter, Glendale, CA 91206 | 2018-01-10 |
| 1972036309 | Concord Hospitalist Group A Medical Corporation | Hospitalist | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2017-04-04 |
| 1508251174 | Michael Best | Hospitalist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2015-04-01 |
| 1144647157 | Sound Inpatient Physicians Medical Group, Inc. | Hospitalist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2014-03-27 |
| 1912328501 | Learnmore Chiguma | Hospitalist | 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-12-26 |
| 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.