Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Lake Pediatrics Medical Group, Inc

Organization Pediatrics Physician · NPI 1700967460

North Lake Pediatrics Medical Group, Inc provides Pediatrics Physician services in Truckee, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10956 Donner Pass Rd Ste 130
Truckee, CA 96161-4860
Phone: (530) 587-3523
Fax: (530) 587-1004
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G35475 (CA)

Record details

NPI number1700967460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Jacobs — Office Manager · (530) 582-6190
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10956 Donner Pass Rd Ste 130, Truckee, CA 96161-4860

Other providers in Truckee