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Lakeside Medical Associates, A Medical Group, Inc.

Family Medicine Physician in Van Nuys, CA · enumerated 2006 · authorized official Kerry Weiner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275579252

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Medical Associates, A Medical Group, Inc.
Other name <Unavail>
Practice address 15211 Vanowen St, Suite 206, Van Nuys, CA, 91405
Fax (818) 376-0011
Enumeration date Jun 20, 2006
Last updated in NPPES May 6, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kerry Weiner
Title President

Other identifiers

Identifier Type State Issuer
GR0068385 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeside Medical Associates, A Medical Group, Inc.?
The NPI for Lakeside Medical Associates, A Medical Group, Inc. is 1275579252, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Medical Associates, A Medical Group, Inc.?
NPPES lists Kerry Weiner (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-06.