Lakeside Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESIDE HOME HEALTH, INC.

Practice address

4119 W Burbank Blvd Ste 143
Burbank, CA 91505-2122

Phone

(714) 510-2682

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Reza Nasrollahy

Title

Ceo

Phone

(714) 510-2682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757117

Legal name

LAKESIDE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 10, 2022

Last certification

Sep 21, 2022

Organization structure

CorporationProprietary

Incorporated

Mar 12, 2020 in CA

Enrollment address

501 S Vincent Ave
Ste 200a
West Covina, CA 91790-6712
HHA Branch

Listed as

Lakeside Home Health, Inc.CCN 757117

Overall star rating

3 of 5

Ownership

-

Certified

Oct 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Yurong Lu

  • Physical Therapist
  • Torrance, CA
  • NPI 1295196061

  Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yurong Lu

  • Physical Therapist
  • Torrance, CA
  • NPI 1295196061
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Huynh Tran, MD, DPD

  • Rheumatology Physician
  • Rosemead, CA
  • NPI 1649566571

  Home health agency

  Care Compare affiliation
• William Shun Tzeng, MD

  • Internal Medicine Physician
  • Hacienda Heights, CA
  • NPI 1649809385

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1407458995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 143",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "714-510-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 143",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "714-510-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "NASROLLAHY",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-510-2682"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Lai
• Roger Chih-Hung Lai, MD
• Vickie Lai
• Bobbi D Laird, ED. S.
• Deborah Lakeman, MA. LMFT
• Lakeside Medical Associates, a Medical Group Inc
• Lakeside Medical Associates, a Medical Group, Inc.
• Lakeside Medical Associates, a Medical Group, Inc.
• Lakeside Medical Associates, a Medical Group, Inc.
• Lakeside Medical Associates, a Medical Group, Inc.

• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.