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

Jon P Lake, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1295768786

Jon P Lake, MD is a Pathology in Garden Grove, California. Qualified in 1978, 48 years ago. Practices with Affiliated Pathologists Medical Group, Inc, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
48
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

12601 Garden Grove Blvd
Garden Grove, CA 92843-1908
Phone: (714) 741-2765
Fax: (714) 590-2490
Show map & directions

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

Specialties & licences

Cytopathology Physician (primary) Taxonomy 207ZC0500X · Licence A84772 (CA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence A84772 (CA)

Record details

NPI number1295768786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Affiliated Pathologists Medical Group, Inc. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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