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Lake Medical Center, Inc.

Neurology Physician in San Marcos, CA · enumerated 2007 · authorized official Michael Shack, President.

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

National Provider Identifier

1689863714

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Medical Center, Inc.
Practice address 1146 San Marino Dr, San Marcos, CA, 92078
Fax (760) 471-2083
Enumeration date Oct 15, 2007
Last updated in NPPES Oct 15, 2007

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License DC17617 (CA) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License G26382 (CA) Primary

Authorized official

Name Michael Shack
Title President

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 Lake Medical Center, Inc.?
The NPI for Lake Medical Center, Inc. is 1689863714, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Medical Center, Inc.?
NPPES lists Michael Shack (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 2007-10-15.