Jon P Lake, MD in Garden Grove, CA

Jon P Lake, MD is a medicare enrolled "Pathology - Cytopathology" physician in Garden Grove, California. His current practice location is 12601 Garden Grove Blvd, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at (714) 741-2765.

Jon P Lake is licensed to practice in California (license number A84772) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295768786.

Contact Information

	Jon P Lake, MD
	12601 Garden Grove Blvd, Garden Grove, CA 92843-1908
	(714) 741-2765
	(714) 590-2490

Map and Direction

Physician's Profile

Full Name	Jon P Lake
Gender	Male
Speciality
Experience	Years
Location	12601 Garden Grove Blvd, Garden Grove, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jon P Lake attended and graduated from in

NPI Data:

NPI Number: 1295768786
Provider Enumeration Date: 07/08/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jon P Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295768786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	A84772 (California)	Secondary
207ZC0500X	Pathology - Cytopathology	A84772 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon P Lake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jon P Lake, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300	Jon P Lake, MD 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 Ph: (714) 741-2765

Reviews and Comments

Pathology Doctors in Garden Grove, CA

Dr. John Chatfield Hiserodt, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 7707 Garden Grove Blvd, Garden Grove, CA 92841 Phone: 714-902-1762 Fax: 657-400-9073
Dr. Antony Eugene Chen, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2765 Fax: 714-537-8968
Si Van Nguyen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Pathology Dept., Garden Grove, CA 92843 Phone: 949-874-0827 Fax: 310-698-7054

Jon P Lake, MD - Medicare in Garden Grove, CA