LIFELONG MEDICAL CARE (NPI# 1952943979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952943979 |
| Entity Type | Organization |
| Organization Name | LIFELONG MEDICAL CARE |
| Practice Address |
616 16th St Oakland CA 94612-1205 |
| Mailing Address |
Po Box 11247 Berkeley CA 94712-2247 |
| Practice Telephone | 5109814100 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | KANWAR D SINGH (CFO) |
| Authorized Official Telephone | 5109814122 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFELONG MEDICAL CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Downtown Oakland Clinic Dispensary | 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 |
| 1760024780 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2023 Vale Rd Ste 107, San Pablo, CA 94806-3891 | 2019-10-10 |
| 1801438965 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2031 6th St, Berkeley, CA 94710-2006 | 2019-10-10 |
| Street Address |
616 16TH ST |
| 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 |
| 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 |
| 1093969420 | Lifelong Medical Care | Clinic/Center | 616 16th St, Suite 1, Oakland, CA 94612-1205 | 2008-11-12 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053953067 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 10700 Macarthur Blvd Ste 14b, Oakland, CA 94605-5260 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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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.