Jeffrey P. Lake, M.D., Inc.
NPI 1639487002 · Colon & Rectal Surgery Physician · Encino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey P. Lake, M.D., Inc. is a Colon & Rectal Surgery Physician organization in Encino, CA (NPI 1639487002).
Provider details
- NPI number
- 1639487002
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Lake, Physician/Owner(818) 387-8725
- License
- A73315 (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
15 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
- 2010-09-20
- Last updated
- 2010-11-16
Frequently asked questions
- What is Jeffrey P. Lake, M.D., Inc.'s NPI number?
- Jeffrey P. Lake, M.D., Inc.'s National Provider Identifier (NPI) is 1639487002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey P. Lake, M.D., Inc.?
- Jeffrey P. Lake, M.D., Inc. is classified in the NPPES registry as Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey P. Lake, M.D., Inc. located?
- Jeffrey P. Lake, M.D., Inc.'s practice location on file with NPPES is 16311 Ventura Blvd, Encino, CA 91436-2124.
- What is Jeffrey P. Lake, M.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jeffrey P. Lake, M.D., Inc. is (818) 387-8725.
- Does Jeffrey P. Lake, M.D., Inc. accept Medicare?
- Jeffrey P. Lake, M.D., 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 Jeffrey P. Lake, M.D., Inc.?
- The authorized official listed on Jeffrey P. Lake, M.D., Inc.'s NPPES record is Jeffrey Lake, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey P. Lake, M.D., Inc.'s NPI active?
- Yes — Jeffrey P. Lake, M.D., Inc.'s NPI (1639487002) is active in the NPPES registry as of the last update on 2010-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.