Individual provider Active NPI

George S Lakner, M.D.

  • Geriatric Psychiatry Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1265568844
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
50841 Issued in MA
Practice address
9377 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5340
Phone
(909) 906-0535
Fax
(909) 906-1505
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 50841 MA Primary

Addresses

Primary practice location

9377 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5340

Mailing address

Fort McNair
#70185
Washington, DC 20024
Phone (202) 333-3393

Other practice location 1

402 S Capitol St SE # 404
#70185
Washington, DC 20003-4070
Phone (202) 333-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000904 CA Practitioner - Psychiatry 5890197016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50841MAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregor Medical Corporation CurrentSince Jun 1, 2023 Accepting new patients

Locations

8300 Utica Ave
Ste 310
Rancho Cucamonga, CA 91730
Phone (909) 906-1505

9377 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 906-1505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1265568844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORT MCNAIR",
            "address_2": "#70185",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20024",
            "telephone_number": "202-333-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305340",
            "telephone_number": "909-906-0535",
            "fax_number": "909-906-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S Capitol St SE # 404",
            "address_2": "#70185",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034070",
            "country_code": "US",
            "telephone_number": "202-333-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKNER",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "50841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.