Lakeshore Medical Clinic Inc
NPI 1063740520 · Internal Medicine Physician · Lake Elsinore, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Medical Clinic Inc is a Internal Medicine Physician organization in Lake Elsinore, CA (NPI 1063740520).
Provider details
- NPI number
- 1063740520
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohmedali Patel, Owner(951) 674-6876
- License
- A50401 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-11-20
- Last updated
- 2009-11-20
Frequently asked questions
- What is Lakeshore Medical Clinic Inc's NPI number?
- Lakeshore Medical Clinic Inc's National Provider Identifier (NPI) is 1063740520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Medical Clinic Inc?
- Lakeshore Medical Clinic Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Medical Clinic Inc located?
- Lakeshore Medical Clinic Inc's practice location on file with NPPES is 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530-4953.
- What is Lakeshore Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Medical Clinic Inc is (951) 674-6876.
- Does Lakeshore Medical Clinic Inc accept Medicare?
- Lakeshore Medical Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeshore Medical Clinic Inc?
- The authorized official listed on Lakeshore Medical Clinic Inc's NPPES record is Mohmedali Patel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Medical Clinic Inc's NPI active?
- Yes — Lakeshore Medical Clinic Inc's NPI (1063740520) is active in the NPPES registry as of the last update on 2009-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.