PETER LAC M.D. – NPI #1881617652
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

PETER LAC is a physician located in WILDOMAR, CA. NPPES has assigned the NPI number 1881617652 to PETER LAC on July 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 5 years ago on Aug 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER LAC below.

NPI Profile for
PETER LAC

NPI Number
1881617652
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER LAC
Credentials
M.D.
Primary location
36320 INLAND VALLEY DR STE 308
WILDOMAR, CA 92595-7512
Phone: (951) 600-7630 Fax: (951) 600-7164
2 Other location(s):
591 E Elder St Ste C
Fallbrook, CA 92028-5001
Phone: (951) 687-7140
Fax: (951) 303-3565
27851 Bradley Rd
Menifee, CA 92586-2286
Phone: (951) 672-7967
Fax: (951) 246-3747
Mailing address
3660 PARK SIERRA DR STE 203
RIVERSIDE, CA 92505-3071
Phone: (951) 687-3400 Fax: (951) 687-7630
Sole Proprietor
No
Updated
Certification Date
Aug 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PETER LAC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICCAA91135
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA A91135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE - Graduated 2003
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER LAC is affiliated with the following medical group(s):
  • HOSPITAL
    • HEMET GLOBAL MEDICAL CENTER
      1117 EAST DEVONSHIRE
      HEMET, CA 92543
    • LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
      28062 BAXTER ROAD
      MURRIETA, CA 92563
    • MENIFEE GLOBAL MEDICAL CENTER
      28400 MCCALL BOULEVARD
      SUN CITY, CA 92585
    • SOUTHWEST HEALTHCARE SYSTEM
      25500 MEDICAL CENTER DRIVE
      MURRIETA, CA 92562
  • DIALYSIS FACILITY
    • DAVITA HEMET DIALYSIS CENTER
      3050 W. Florida Avenue
      Hemet, CA 92545
    • DAVITA MENIFEE HOME DIALYSIS
      29878 Haun Road, Suite 100
      MENIFEE, CA 92586
    • DAVITA SUN CITY MENIFEE DIALYSIS
      1702 ILLINOIS AVENUE
      PERRIS, CA 92571

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