North Lake Pediatrics Medical Group, Inc.
NPI 1700967460ActiveOrganization· Pediatrics· Truckee, CA
Pediatrics in Truckee, California, registered in NPPES in October 2006. The authorized official on file is Christine Jacobs, M.A.C.M.O.M., Office Manager.
Overview
| NPI | 1700967460 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | G35475 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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