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

Dr. Jeffrey Preston Lake, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1326006024

Dr. Jeffrey Preston Lake, MD is a Colorectal Surgery (Proctology) in Encino, California. Graduated from Baylor College of Medicine in 1999, 27 years ago. Practices with Jeffrey P Lake MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Baylor College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16311 Ventura Blvd Ste 505
Encino, CA 91436-2124
Phone: (818) 645-5920
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

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A73315 (CA)

Record details

NPI number1326006024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESSeptember 13, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Jeffrey P Lake Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Encino