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

Dr. Menore Gashaw Lake, MD

Individual provider Diagnostic Radiology Physician · NPI 1386174878

Dr. Menore Gashaw Lake, MD is a Diagnostic Radiology in San Diego, California. Graduated from University of Louisville School of Medicine in 2017, 9 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
University of Louisville School of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A175291 (CA)

Record details

NPI number1386174878
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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