LIFELONG MEDICAL CARE (NPI# 1093969420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093969420 |
Entity Type | Organization |
Organization Name | LIFELONG MEDICAL CARE |
Other Organization Name | LIFELONG MEDICAL CARE-DOWNTOWN OAKLAND CLINIC |
Practice Address |
616 16th St Suite 1 Oakland CA 94612-1205 |
Practice Telephone | 5104514270 |
Mailing Telephone | 5104514270 |
Enumeration Date | 2008-11-12 |
Last Update Date | 2009-06-18 |
Authorized Official Name | MARTY LYNCH (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5104514270 |
Is Organization Subpart | Y |
Parent Organization Name | LIFELONG MEDICAL CARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LifeLong Medical Care-Downtown Oakland Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003289463 | Lifelong Medical Care | Family Medicine | 2 California St, Rodeo, CA 94572-1311 | 2015-11-06 |
1871919233 | Lifelong Medical Care | Case Management | 1415 Harrison St, Oakland, CA 94612-3922 | 2014-03-10 |
1598181950 | Lifelong Medical Care | Case Management | 1424 Jefferson St, Oakland, CA 94612-1972 | 2014-03-10 |
1871918524 | Lifelong Medical Care | Case Management | 3501 San Pablo Ave, Oakland, CA 94608-4255 | 2014-03-04 |
1154327138 | Lifelong Medical Care | Family Medicine | 10700 Macarthur Blvd, Ste 14b, Oakland, CA 94605-5260 | 2005-06-23 |
1013913300 | Lifelong Medical Care | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2005-06-22 |
1720084163 | Lifelong Medical Care | Family Medicine | 2031 6th St, Berkeley, CA 94710-2006 | 2005-06-21 |
1689670002 | Lifelong Medical Care | Family Medicine | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2005-06-21 |
1952943979 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 616 16th St, Oakland, CA 94612-1205 | 2019-10-10 |
1760024780 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2023 Vale Rd Ste 107, San Pablo, CA 94806-3891 | 2019-10-10 |
Street Address |
616 16TH ST SUITE 1 |
City | OAKLAND |
State | CA |
Zip Code | 94612-1205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831167360 | Britta Charlene Nelson | Physician Assistant | 616 16th St, Oakland, CA 94612-1205 | 2006-03-10 |
1952943979 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 616 16th St, Oakland, CA 94612-1205 | 2019-10-10 |
1629425004 | Jared Thomas Bunde | Registered Nurse | 616 16th St, Oakland, CA 94612-1205 | 2016-05-16 |
1134537244 | Kirsten Flagg | Nurse Practitioner | 616 16th St, Oakland, CA 94612-1205 | 2014-08-01 |
1578808390 | Cheryll May Villamor-macintyre | Community/Behavioral Health | 616 16th St, Oakland, CA 94612-1205 | 2012-12-05 |
1821344003 | Skylar Loeb | Registered Nurse | 616 16th St, Oakland, CA 94612-1205 | 2012-07-25 |
1467711572 | Douglas Frey | Nurse Practitioner | 616 16th St, Oakland, CA 94612-1205 | 2012-05-09 |
1982851366 | Danielle Lynn Marchman | Social Worker | 616 16th St, Oakland, CA 94612-1205 | 2008-08-27 |
1700073285 | Joann Mary Bianchi Wojick | Social Worker | 616 16th St, Oakland, CA 94612-1205 | 2007-09-28 |
1033329750 | Kristen Lynn Smol | Physician Assistant | 616 16th St, Oakland, CA 94612-1205 | 2007-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
Find all providers in zip 94612 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743345 | Osita Health Clinic | Clinic/Center | 2521 Seminary Ave Ste 1, Oakland, CA 94605-1307 | 2019-01-04 |
1417440959 | Perkins-mazor Chiropractic, Inc. | Clinic/Center | 3201 Macarthur Blvd, Oakland, CA 94602-3819 | 2018-06-09 |
1760981617 | East Bay Acupuncture | Clinic/Center | 440 Grand Ave Ste 401, Oakland, CA 94610-5032 | 2018-02-06 |
1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
1972904183 | International Center for Integrative Medicine | Clinic/Center | 3824 Macarthur Blvd, Oakland, CA 94619-1315 | 2014-09-07 |
1538431432 | Preventive Care Pathways | Clinic/Center | 5709 Market St Ste A, Oakland, CA 94608-2811 | 2012-02-08 |
1497033088 | Oakland Acupuncture Project, Inc. | Clinic/Center | 3576 Laurel Ave, Oakland, CA 94602-3841 | 2011-07-29 |
1689825366 | The West Oakland Health Council | Clinic/Center | 2730 Adeline Street, Oakland, CA 94607 | 2008-10-01 |
1235301524 | Healthy Communities, Incorporated | Clinic/Center | 2580 San Pablo Ave, Oakland, CA 94612-1160 | 2008-03-27 |
1811025653 | Garrett Surgical Group, P.a. | Clinic/Center | 255 N 4th St Ste 2, Oakland, MD 21550-1340 | 2007-03-01 |
Find all providers in OAKLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.