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Ghc of Lakeside, LLC

Skilled Nursing Facility in Lakeside, CA · enumerated 2005 · authorized official Lois Mastrocola, Chief Financial Officer.

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

National Provider Identifier

1790789170

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Registry record

Entity type Organization (Type 2)
Legal business name Ghc of Lakeside, LLC
Other name <Unavail>
Practice address 11962 Woodside Ave, Lakeside, CA, 92040
Phone (619) 561-1222
Fax (619) 390-9487
Enumeration date Jun 13, 2005
Last updated in NPPES Aug 5, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 080000111 (CA) Primary

Authorized official

Name Lois Mastrocola
Title Chief Financial Officer
Phone (714) 241-5600

Other identifiers

Identifier Type State Issuer
ZZT18594H 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

Where is Ghc of Lakeside, LLC located?
The practice location on file with NPPES is in Lakeside, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-05.