Lake Medical Center, Inc.
NPI 1689863714 · Neurology Physician · San Marcos, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Medical Center, Inc. is a Neurology Physician organization in San Marcos, CA (NPI 1689863714).
Provider details
- NPI number
- 1689863714
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Shack, President(760) 471-2033
- License
- DC17617 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
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
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2007-10-15
Frequently asked questions
- What is Lake Medical Center, Inc.'s NPI number?
- Lake Medical Center, Inc.'s National Provider Identifier (NPI) is 1689863714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Medical Center, Inc.?
- Lake Medical Center, Inc. is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Medical Center, Inc. located?
- Lake Medical Center, Inc.'s practice location on file with NPPES is 1146 San Marino Dr, San Marcos, CA 92078-4649.
- What is Lake Medical Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Medical Center, Inc. is (760) 471-2033.
- Does Lake Medical Center, Inc. accept Medicare?
- Lake Medical Center, 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 Lake Medical Center, Inc.?
- The authorized official listed on Lake Medical Center, Inc.'s NPPES record is Michael Shack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Medical Center, Inc.'s NPI active?
- Yes — Lake Medical Center, Inc.'s NPI (1689863714) is active in the NPPES registry as of the last update on 2007-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.