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Roger Lake, MD
NPI 1629154141 · Family Medicine Physician · San Jose, CA
Roger Lake, MD is a Family Medicine Physician provider in San Jose, CA (NPI 1629154141).
Provider details
- NPI number
- 1629154141
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G39126 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
260 International Cir
San Jose, CA 95119-1130
Phone: (408) 972-7000
Street-level locationGet directions
Mailing address
1800 Harrison St Fl 7
Oakland, CA 94612-3429
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Roger Lake's NPI number?
- Roger Lake's National Provider Identifier (NPI) is 1629154141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Lake's specialty?
- Roger Lake is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roger Lake located?
- Roger Lake's practice location on file with NPPES is 260 International Cir, San Jose, CA 95119-1130.
- What is Roger Lake's phone number?
- The practice phone number listed in the NPPES registry for Roger Lake is (408) 972-7000.
- Is Roger Lake's NPI active?
- Yes — Roger Lake's NPI (1629154141) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.