Lake Health Services
NPI 1770580268 · Community/Retail Pharmacy · Clearlake, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Health Services is a Community/Retail Pharmacy organization in Clearlake, CA (NPI 1770580268).
Provider details
- NPI number
- 1770580268
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Lake Health Services
- Organization subpart
- Yes
- Authorized official
- Tim Nguyen, President(925) 586-2112
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Lake Pharmacy
- Doing business as
- Lake Pharmacy
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2020-05-01
- Certified
- 2020-05-01
Frequently asked questions
- What is Lake Health Services's NPI number?
- Lake Health Services's National Provider Identifier (NPI) is 1770580268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Health Services?
- Lake Health Services is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lake Health Services located?
- Lake Health Services's practice location on file with NPPES is 15230 Lakeshore Dr, Clearlake, CA 95422.
- What is Lake Health Services's phone number?
- The practice phone number listed in the NPPES registry for Lake Health Services is (707) 994-3141.
- Does Lake Health Services accept Medicare?
- Lake Health Services 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 Health Services?
- The authorized official listed on Lake Health Services's NPPES record is Tim Nguyen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Health Services's NPI active?
- Yes — Lake Health Services's NPI (1770580268) is active in the NPPES registry as of the last update on 2020-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.