North Lake Pediatrics Medical Group, Inc.
Pediatrics
North Lake Pediatrics Medical Group, Inc. is a Truckee, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
10956 Donner Pass Rd Ste 130, Truckee, California - 96161-4860. They can be contacted on phone at
530-587-3523 and fax number 530-587-1004.
NPI number (Unique professional ID) for North Lake Pediatrics Medical Group, Inc. is
1700967460 which was assigned by NPPES on 18 Oct, 2006 and it was last updated on 22 Aug, 2020.
North Lake Pediatrics Medical Group, Inc. license number is
G35475 for Pediatrics (208000000X) in California.
North Lake Pediatrics Medical Group, Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
North Lake Pediatrics Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | North Lake Pediatrics Medical Group, Inc. |
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Business Address:
North Lake Pediatrics Medical Group, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10956 Donner Pass Rd Ste 130
Truckee, CA, 96161-4860
United States |
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| Phone Number : | 530-587-3523 |
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| Fax Number : | 530-587-1004 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700967460 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Oct, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Christine Jacobs |
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| Authorized Official Credential : | M.A.C.M.O.M. |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 530-582-6190 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North Lake Pediatrics Medical Group, Inc. are as mentioned. Primary taxonomy code for North Lake Pediatrics Medical Group, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G35475 | CA |
Legacy Identifiers:
Other legacy medical identifiers of North Lake Pediatrics Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0075020 | MEDICAID | CA | |
| ZHCPP486 | Other | CA | BLUE CROSS PROVIDER NUMBE |
| ZZZ52949Z | Other | CA | BLUE SHIELD PROVIDER # |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10956 Donner Pass Rd Ste 130
Truckee, CA, 96161-4860
United States |
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| Phone Number : | 530-587-3523 |
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| Fax Number : | 530-587-1004 |
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Business Location:
Patients can refer following map for directions to
North Lake Pediatrics Medical Group, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.