Active NPI
Charles M Lakin, M.D.
- Urology Physician
- San Diego, CA
National Provider Identifier
1548272198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G38869
- Practice address
- 200 W Arbor Drive
Medical Offices North Suite 3-4
San Diego, CA 92103-8706 - Phone
- (619) 543-3572
- Fax
- (619) 543-3475
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G38869 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Drive
Medical Offices North Suite 3-4
San Diego, CA 92103-8706
Mailing address
200 W Arbor Drive
Mailcode 8897
San Diego, CA 92103-8897
Phone (619) 543-3573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G388690 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38869 | CA | MD | Dentist |
| G38869 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1548272198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ARBOR DRIVE",
"address_2": "MAILCODE 8897",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038897",
"telephone_number": "619-543-3573",
"fax_number": "619-543-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DRIVE",
"address_2": "MEDICAL OFFICES NORTH SUITE 3-4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038706",
"telephone_number": "619-543-3572",
"fax_number": "619-543-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKIN",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G38869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G388690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.