Lakeside Medical Associates, A Medical Group, Inc.

NPI: 1619975158

Lakeside Medical Associates, A Medical Group, Inc.

Q: What is Lakeside Medical Associates, A Medical Group, Inc.'s provider type?

Lakeside Medical Associates, A Medical Group, Inc. is an Organization under CMS NPI Type 2.

ActiveOrganizationNurse Practitioner

NPI issued: July 8, 2005

Quick Facts

NPI Number

1619975158

TypeOrganization

StatusActive

SpecialtyNurse Practitioner

Taxonomy363L00000X — Nurse Practitioner

Phone

(818) 755-0391

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1619975158)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 8, 2005)

Data source: CMS NPPES

Provider Overview

LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. is a Nurse Practitioner provider based in North Hollywood, CA who has been registered with CMS since 2005. They are affiliated with Lakeside Community Healthcare Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1619975158

Provider TypeOrganization

StatusActive

Enumeration DateJuly 8, 2005

Practice Location

CityNorth Hollywood

StateCA

ZIP Code91607-3429

Phone(818) 755-0391

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363L00000X

License StateCA

Mailing Address

CityNorth Hollywood

StateCA

ZIP Code91607-3429

Phone(818) 755-0391

Same as practice location

Hospital & Organization Affiliations

🏢

Lakeside Community Healthcare Medical Group

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How to Use This NPI

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For Insurance Billing

Use NPI 1619975158 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1619975158for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1619975158 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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