LIFELONG MEDICAL CARE (NPI# 1619145307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619145307 |
| Entity Type | Organization |
| Organization Name | LIFELONG MEDICAL CARE |
| Other Organization Name | LIFELONG MEDICAL CARE HOWARD DANIEL CLINIC |
| Practice Address |
9933 Macarthur Blvd Oakland CA 94605-4853 |
| Practice Telephone | 5109814122 |
| Mailing Telephone | 5109814122 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | MR. MARTY LYNCH (CEO) |
| Authorized Official Telephone | 5109814123 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFELONG MEDICAL CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LifeLong Medical Care Howard Daniel 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 |
9933 MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548227721 | Howard D. Daniel, Md Professional Corporation | Clinic/Center | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2006-04-30 |
| 1013446236 | Reiko Furuya Sales | Registered Nurse | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2017-06-10 |
| 1184074072 | Jerica Wesley | Registered Nurse | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2016-06-21 |
| 1881936656 | Judith Elise Rosenberg | Social Worker | 9933 Macarthur Blvd, Lifelong Howard Daniel Clinic, Oakland, CA 94605 | 2013-03-20 |
| 1699052258 | Monique Rosenthal | Physician Assistant | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2011-11-10 |
| 1548407596 | Vicki Alexander | Preventive Medicine | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2009-01-13 |
| 1538386297 | Sally Ann Daniel | Nurse Practitioner | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2007-04-20 |
| 1598723033 | Howard Douglas Daniel | Family Medicine | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1780032128 | Lifelong Medical Care | Clinic/Center | 10700 Macarthur Blvd, Suite 14 B, Oakland, CA 94605-5298 | 2016-05-26 |
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| 1780953596 | Madison Health Center | Clinic/Center | 400 Capistrano Dr, Oakland, CA 94603-3520 | 2011-12-22 |
| 1285817338 | Jeanette Beer | Clinic/Center | 2647 International Blvd, Suite 600, Oakland, CA 94601-1537 | 2007-12-12 |
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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.