Jeffrey P Lake (NPI# 1326006024, PAC ID# 8123030335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1326006024 |
| PAC ID by PECOS | 8123030335 |
| Professional Enrollment ID | I20060706000227 |
| Full Name | Jeffrey P Lake |
| Organization Legal Name | JEFFREY P. LAKE, M.D., INC. |
| Address |
16311 Ventura Blvd Suite 505 Encino CA 91436-4309 |
| Phone Number | 8183878725 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 4587852868 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050761 | PROVIDENCE TARZANA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16311 Ventura Blvd, Suite 505, Encino, CA 91436-4309 | 8183878725 | JEFFREY P. LAKE, M.D., INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 69% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 27% |
| Organization Legal Name | JEFFREY P. LAKE, M.D., INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles N Headrick | General Surgery | Jeffrey P. Lake, M.d., Inc. | 16311 Ventura Blvd, Suite 505, Encino, CA 91436-4309 |
| Daniel S Gingold | Colorectal Surgery (proctology) | Jeffrey P. Lake, M.d., Inc. | 16311 Ventura Blvd, Suite 505, Encino, CA 91436-4309 |
| Street Address |
16311 VENTURA BLVD SUITE 505 |
| City | ENCINO |
| State | CA |
| Zip | 91436-4309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce R Steinberg | Psychiatry | 16311 Ventura Blvd, Suite 1050, Encino, CA 91436-4347 | |
| Gregory Vassilev | Interventional Pain Management | Conservative Anesthesia Group PC | 16311 Ventura Blvd, Suite 705, Encino, CA 91436-4323 |
| Jeffrey B Glaser | Anesthesiology | Jeffrey B Glaser Md Medical | 16311 Ventura Blvd, Suite 518, Encino, CA 91436-4372 |
| Alex A Lazar | Psychiatry | 16311 Ventura Blvd, Suite 1050, Encino, CA 91436-4347 | |
| Mark H Kramar | Ophthalmology | Ophthalmology Associates of The Valley Medical Group | 16311 Ventura Blvd, Suite 750, Encino, CA 91436-4325 |
| Shirzad A Abrams | Orthopedic Surgery | Shirzad A. Abrams, M.d. | 16311 Ventura Blvd, Suite 1150, Encino, CA 91436-4386 |
| Gonzalo Audres Cerda | Physical Therapy | Shirzad A. Abrams, M.d. | 16311 Ventura Blvd, Suite 1150, Encino, CA 91436-4386 |
| Stanley Martin Kopelow | Ophthalmology | 16311 Ventura Blvd, Suite 750, Encino, CA 91436-4325 | |
| Charles N Headrick | General Surgery | Jeffrey P. Lake, M.d., Inc. | 16311 Ventura Blvd, Suite 505, Encino, CA 91436-4309 |
| Barry A Halote | Psychologist, Clinical | 16311 Ventura Blvd, Suite 1050, Encino, CA 91436-4347 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher N Hage | Internal Medicine | 5016 Rubio Ave, Encino, CA 91436-1123 | |
| Ronald I Koslowski | Oral Surgery | 16311 Ventura Blvd, Suite 985, Encino, CA 91436-1224 | |
| Clifford R Kahn | Orthopedic Surgery | 16633 Ventura Blvd, Suite 802, Encino, CA 91436-1824 | |
| Payam Vahedifar | Physical Medicine and Rehabilitation | 16633 Ventura Blvd, Suite 802, Encino, CA 91436-1824 | |
| George H Sanders | Plastic and Reconstructive Surgery | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1834 | |
| Stephen D Bresnick | Plastic and Reconstructive Surgery | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1834 | |
| Alireza Torchizy | Dermatology | 16661 Ventura Blvd, Suite 105, Encino, CA 91436-1901 | |
| William Lenaburg | Family Medicine | Family Urgent Care and Industrial Medical Clinic, Inc. | 16661 Ventura Blvd, Suite 108, Encino, CA 91436-1902 |
| Rashin Dangelo | Psychologist, Clinical | 16661 Ventura Blvd, Encino, CA 91436-1914 | |
| Mehrnoosh Rezapour | Psychologist, Clinical | 16661 Ventura Blvd, Suite 400f, Encino, CA 91436-1914 | |
| Find all physicians in zip 91436 | |||
| City | ENCINO |
| Zip Code | 91436 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | ENCINO + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Jeffrey P Lake.
| 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.