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Lakeside Medical Associates, A Medical Group, Inc.

Family Medicine Physician in West Covina, CA · enumerated 2008 · authorized official Kerry Weiner, President.

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

National Provider Identifier

1801051784

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 1500 W West Covina Pkwy, West Covina, CA, 91790
Fax (626) 960-3726
Enumeration date Jul 21, 2008
Last updated in NPPES Oct 19, 2009

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LX0001X Obstetrics & Gynecology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kerry Weiner
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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lakeside Medical Associates, A Medical Group, Inc.?
Lakeside Medical Associates, A Medical Group, Inc. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-19.