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Lakeside Medical Associates, A Medical Group, Inc.

Hospitalist Physician in Glendale, CA · enumerated 2006 · authorized official Kerry Weiner, President.

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

National Provider Identifier

1932129434

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 777 Flower St Ste A, Glendale, CA, 91201
Fax (818) 242-8761
Enumeration date Jul 20, 2006
Last updated in NPPES May 11, 2009

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kerry Weiner
Title President

Other identifiers

Identifier Type State Issuer
GR0068380 Medicaid CA -
GR0068383 Medicaid CA -
GR0068384 Medicaid CA -
GR0068381 Medicaid CA -
GR0068386 Medicaid CA -
GR0068387 Medicaid CA -
GR006838B Medicaid CA -
GR0068382 Medicaid CA -
GR0068385 Medicaid CA -
GR0068388 Medicaid CA -
GR006838A 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 Lakeside Medical Associates, A Medical Group, Inc. located?
The practice location on file with NPPES is in Glendale, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-05-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-11.