Jon P Lake, MD in Garden Grove, CA

Jon P Lake, MD is a medicare enrolled "Pathology - Cytopathology" physician in Garden Grove, California. He graduated from medical school in 1978 and has 47 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Affiliated Pathologists Medical Group, Inc. and 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	Pathology
Experience	47 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 graduated from medical school in 1978

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID: 3678571585
Enrollment ID: I20061130000478

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Orange, CA	Hospital
Redlands Community Hospital	Redlands, CA	Hospital
West Anaheim Medical Center	Anaheim, CA	Hospital
Southern California Hospital At Hollywood	Hollywood, CA	Hospital
Garden Grove Hospital & Medical Center	Garden grove, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affiliated Pathologists Medical Group, Inc.	7315840535	44

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon P Lake allows following entities to bill medicare on his behalf.

Entity Name	Affiliated Pathologists Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838

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 Pathology in Garden Grove, CA