Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Medical Associates, A Medical Group, Inc.

Family Medicine Physician in North Hollywood, CA · enumerated 2005 · authorized official Kerry Weiner, President.

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

National Provider Identifier

1619975158

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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 12660 Riverside Dr, Suite 310/320, North Hollywood, CA, 91607

Phone (818) 755-0391

Fax (818) 753-8165

Enumeration date Jul 8, 2005

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

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kerry Weiner

Title President

Phone (818) 637-2000

Other identifiers

Identifier	Type	State	Issuer
GR0068380	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Lakeside Medical Associates, A Medical Group, Inc. located?

The practice location on file with NPPES is in North Hollywood, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-05-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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