LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1659576072
Internal Medicine - Endocrinology, Diabetes & Metabolism in Glendale, CA

NPI Status: Active since June 16, 2007

Contact Information

1500 S CENTRAL AVE
SUITE 326
GLENDALE, CA
ZIP 91204
Phone: (818) 956-8582
Fax: (818) 956-0329

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Lakeside Community Healthcare Medical Group, an internist established in Glendale, California operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1659576072 assigned on June 2007. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Lakeside Community Healthcare Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lakeside Community Healthcare Medical Group. The authorized official of this NPI record is Kerry E. Weiner M.d. (President)

NPI
1659576072
Provider Legal Name
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Other Organization Name
LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1500 S CENTRAL AVE SUITE 326 GLENDALE, CA 91204
Location Phone
(818) 956-8582
Location Fax
(818) 956-0329
Mailing Address
777 FLOWER ST STE A GLENDALE, CA 91201
Mailing Phone
(818) 637-2000
Mailing Fax
(818) 956-0329
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2007
Last Update Date
05-11-2009
Code Navigator

An internist like Lakeside Community Healthcare Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KERRY E. WEINER M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 637-2000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W12279AMEDICARE PIN (08)CA 
W12279MEDICARE PIN (08) 
GR006838CMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659576072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610910712014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 0 + 7 + 1 + 2 + 0 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1659576072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922088459 SERENA A TU MD
Individual
Pediatrics1500 S CENTRAL AVE SUITE 100
GLENDALE, CA 91204
(818) 637-7980
1831110923 GHOLAM H FARBOODY MD
Individual
Specialist1500 S CENTRAL AVE SUITE 221
GLENDALE, CA 91204
(818) 242-0475
1316968571DR. EMMANUEL CORREA LUNA M.D.
Individual
Family Medicine1500 S CENTRAL AVE SUITE 321
GLENDALE, CA 91204
(818) 500-0880
1962415141DR. LELANIE MEDINA LUNA M.D.
Individual
Pediatrics (Adolescent Medicine)1500 S CENTRAL AVE SUITE 310
GLENDALE, CA 91204
(818) 500-1331
1912010778DR. CESAR A CALDERA M.D
Individual
Obstetrics & Gynecology (Obstetrics)1500 S CENTRAL AVE 125
GLENDALE, CA 91204
(818) 502-1160
1699878553 JAMES LEE M.D.
Individual
Internal Medicine1500 S CENTRAL AVE #320
GLENDALE, CA 91204
(818) 553-1106
1992801906DR. SARKIS ARSIN KAAKIJIAN MD
Individual
Internal Medicine1500 S CENTRAL AVE SUITE 318
GLENDALE, CA 91204
(818) 548-5437
1841372497 MARTIN N MONTORO M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1500 S CENTRAL AVE 326
GLENDALE, CA 91204
(818) 956-8582
1629128285RAJENDRA K. TIWARI, M.D., PROFESSIONAL CORPORATION
Organization
Neurological Surgery1500 S CENTRAL AVE #314
GLENDALE, CA 91204
(818) 244-5117
1730226994EMMANUEL C. LUNA, M.D., FAAFP, INC.
Organization
Family Medicine1500 S CENTRAL AVE SUITE 321
GLENDALE, CA 91204
(818) 500-0880
1427195387LELANIE M. LUNA, M.D., FAAP, INC.
Organization
Pediatrics (Adolescent Medicine)1500 S CENTRAL AVE SUITE 310
GLENDALE, CA 91204
(818) 500-1331
1386774255 VATCHE B BARDAKJIAN MD
Individual
Surgery (Plastic and Reconstructive Surgery)1500 S CENTRAL AVE SUITE 126
GLENDALE, CA 91204
(818) 247-4894
1649460858EMMANUEL C LUNA, M.D., FAAFP, INC.
Organization
Family Medicine1500 S CENTRAL AVE SUITE 321
GLENDALE, CA 91204
(818) 500-0880
1104001288LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Organization
Internal Medicine (Cardiovascular Disease)1500 S CENTRAL AVE SUITE 320
GLENDALE, CA 91204
(818) 247-3708
1528245586ARMINEH TAVITIAN MD INC
Organization
Obstetrics & Gynecology1500 S CENTRAL AVE 200
GLENDALE, CA 91204
(818) 637-7613
1861666364IGNACIO VALDES, MD APC
Organization
Obstetrics & Gynecology1500 S CENTRAL AVE STE 210
GLENDALE, CA 91204
(818) 500-0999
1801053699DR. DEBBIE HWA-YUN PENG MD
Individual
Pediatrics1500 S CENTRAL AVE #100
GLENDALE, CA 91204
(818) 637-7980
1184879033CESAR A CALDERA MD INC
Organization
Clinic/Center1500 S CENTRAL AVE STE 125
GLENDALE, CA 91204
(818) 502-1160
1073758645SARKIS A KAAKIJIAN M D INC
Organization
Internal Medicine1500 S CENTRAL AVE SUITE 318
GLENDALE, CA 91204
(818) 548-5437
1316185788WESTERN PODMED CLINIC INC
Organization
Podiatrist (Foot & Ankle Surgery)1500 S CENTRAL AVE STE 323
GLENDALE, CA 91204
(818) 243-0400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659576072, enumerated in the NPI registry as an "organization" on June 16, 2007

The provider is located at 1500 S Central Ave Suite 326 Glendale, Ca 91204 and the phone number is (818) 956-8582

This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.