LIFELONG MEDICAL CARE


Address: 616 16th St, Suite 1, Oakland, CA 94612-1205
Phone: 5104514270

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LifeLong Medical Care-Downtown Oakland Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 616 16TH ST
SUITE 1
City OAKLAND
State CA
Zip Code 94612-1205

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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
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Competitor

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City OAKLAND
Zip Code 94612

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Dataset Information

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.

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