Stacey R Brenner (NPI# 1386971505, PAC ID# 1456539170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1386971505 |
| PAC ID by PECOS | 1456539170 |
| Professional Enrollment ID | I20110629000190 |
| Full Name | Stacey R Brenner |
| Organization Legal Name | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Address |
24355 Lyons Ave Suite 210 Santa Clarita CA 91321-2381 |
| Phone Number | 6612229381 |
| Gender | F |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618005166 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 24355 Lyons Ave, Suite 210, Santa Clarita, CA 91321-2381 | 6612229381 | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Organization Legal Name | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liza Mae E Ocampo | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 1500 W W Covina Pkwy, West Covina, CA 91790-2708 |
| Lia H Yoon | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 12660 Riverside, Suite 320, North Hollywood, CA 91607-3429 |
| Panny Pang | Physical Therapy | Lakeside Medical Organization, A Medical Group Inc. | 101 S 1st St, Suite 1800, Burbank, CA 91502-1959 |
| Denise L Hom | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 7325 Medical Ctr Dr, Suite 300, West Hills, CA 91307-4117 |
| Debra L Hilburn | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 8510 Balboa Blvd, Suite 150, Northridge, CA 91325-5810 |
| Verna S Liss | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Carmen S Slavov | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 14901 Rinaldi St, Suite 200 201, Mission Hills, CA 91345-1204 |
| Diana Dermendjian | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 191 S Buena Vista St, Suite 200 and 240, Burbank, CA 91505-4542 |
| Frederick O Galloway | Physician Assistant | Lakeside Medical Organization, A Medical Group Inc. | 191 S Buena Vista St, Suite 150, Burbank, CA 91505-4522 |
| Jose Mari M Esparrago | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 14901 Rinaldi St, Suite 200 201, Mission Hills, CA 91345-1204 |
| Street Address |
24355 LYONS AVE SUITE 210 |
| City | SANTA CLARITA |
| State | CA |
| Zip | 91321-2381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Weagley | Family Medicine | 24355 Lyons Ave, Suite 130, Santa Clarita, CA 91321-2323 | |
| Gregory D Jenkins | Family Medicine | 24355 Lyons Ave, Suite 160, Santa Clarita, CA 91321-2380 | |
| Aelita Khachatrian | Rheumatology | Lakeside Medical Organization, A Medical Group Inc. | 24355 Lyons Ave, Suite 210, Santa Clarita, CA 91321-2381 |
| Eric L Fernandez | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 24355 Lyons Ave, Suite 210, Santa Clarita, CA 91321-2381 |
| Marlon R Brooks | Obstetrics/gynecology | 24355 Lyons Ave, Suite 214, Santa Clarita, CA 91321-2395 | |
| Chung Sang C Kim | Anesthesiology | 24355 Lyons Ave, Suite 100, Newhall, CA 91321-2332 | |
| Andrea Vu | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 24355 Lyons Ave, Suite 210, Santa Clarita, CA 91321-2381 |
| Parviz Galdjie | Orthopedic Surgery | 24355 Lyons Ave, Suite 214, Santa Clarita, CA 91321-2395 | |
| Stephen J Baumgartner | Physical Therapy | Bandb Physical Therapy, Inc | 24355 Lyons Ave, Suite 100, Newhall, CA 91321-2332 |
| Minh Q Mach | Endocrinology | 24355 Lyons Ave, Suite 211, Santa Clarita, CA 91321-2382 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Sandra A Umali | Gastroenterology | 22621 Lyons Ave, Newhall, CA 91321-1702 | |
| Thuong Duy Vo | Anesthesiology | 24707 Railroad Ave, Santa Clarita, CA 91321-1711 | |
| Robert L Fisher | Chiropractic | 26850 Sierra Hwy A14, Santa Clarita, CA 91321-2267 | |
| Ronald D Bittle | Chiropractic | 26883 Sierra Hwy, Newhall, CA 91321-2274 | |
| Jeffrey London | Internal Medicine | James R Weagley, Md, Inc. | 24355 Lyons Ave, Suite 130, Santa Clarita, CA 91321-2323 |
| James P Dela Flor | Internal Medicine | James R Weagley, Md, Inc. | 24355 Lyons Ave, Suite 130, Santa Clarita, CA 91321-2323 |
| Arthur D Vatz | Urology | Lakeside Medical Organization, A Medical Group Inc. | 24355 Lyons Ave, Santa Clarita, CA 91321-2386 |
| William D Pagliano | Podiatry | 24355 Lyons Ave, Suite 110, Newhall, CA 91321-2394 | |
| Sina Tebi | Endocrinology | 23938 Lyons Ave, Suite 204, Newhall, CA 91321-2400 | |
| Mehrnaz Kouhkan | Podiatry | 23938 Lyons Ave, Suite 204, Newhall, CA 91321-2400 | |
| Find all physicians in zip 91321 | |||
| City | SANTA CLARITA |
| Zip Code | 91321 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SANTA CLARITA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stacey R Brenner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.