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

North Lake Pediatrics Medical Group, Inc

Organization Pediatrics Physician · NPI 1700967460

North Lake Pediatrics Medical Group, Inc is a Pediatrics Physician in Truckee, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10956 Donner Pass Rd Ste 130
Truckee, CA 96161-4860
Phone: (530) 587-3523
Fax: (530) 587-1004
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G35475 (CA)

Record details

NPI number1700967460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Jacobs — Office Manager · (530) 582-6190
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10956 Donner Pass Rd Ste 130, Truckee, CA 96161-4860

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