Lakeside Medical Associates a Medical Group, Inc.
NPI 1205002862 · Family Medicine Physician · Glendale, CA
Lakeside Medical Associates a Medical Group, Inc. is a Family Medicine Physician organization in Glendale, CA (NPI 1205002862).
Provider details
- NPI number
- 1205002862
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerry Weiner, President(818) 637-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Other names (DBA / former)
- Doing business as
- Lakeside Community Healthcare Medical Group
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2009-05-11
Frequently asked questions
- What is Lakeside Medical Associates a Medical Group, Inc.'s NPI number?
- Lakeside Medical Associates a Medical Group, Inc.'s National Provider Identifier (NPI) is 1205002862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Medical Associates a Medical Group, Inc.?
- Lakeside Medical Associates a Medical Group, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Medical Associates a Medical Group, Inc. located?
- Lakeside Medical Associates a Medical Group, Inc.'s practice location on file with NPPES is 1510 S Central Ave, Glendale, CA 91204-2500.
- What is Lakeside Medical Associates a Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeside Medical Associates a Medical Group, Inc. is (818) 254-1511.
- Who is the authorized official for Lakeside Medical Associates a Medical Group, Inc.?
- The authorized official listed on Lakeside Medical Associates a Medical Group, Inc.'s NPPES record is Kerry Weiner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Medical Associates a Medical Group, Inc.'s NPI active?
- Yes — Lakeside Medical Associates a Medical Group, Inc.'s NPI (1205002862) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.