Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Medical Associates, a Medical Group, Inc

Organization Family Medicine Physician · NPI 1538323993

Lakeside Medical Associates, a Medical Group, Inc is a Family Medicine Physician in Thousand Oaks, California. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

612 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone: (805) 373-0725
Fax: (805) 373-0574
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1538323993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJuly 15, 2008
Last updated in NPPESSeptember 4, 2009
Mailing address777 Flower Street, Suite A, Glendale, CA 91201-3000

Other providers in Thousand Oaks