LIFELONG MEDICAL CARE (NPI# 1841832862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841832862 |
| Entity Type | Organization |
| Organization Name | LIFELONG MEDICAL CARE |
| Practice Address |
3260 Sacramento St Berkeley CA 94702-2739 |
| 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 |
|---|---|
| Over 60 Health Center 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 |
| 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 |
3260 SACRAMENTO ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670002 | Lifelong Medical Care | Family Medicine | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2005-06-21 |
| 1043760705 | Denise Scholz | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2016-10-06 |
| 1831643162 | Susan Battersby | Registered Nurse | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2016-08-03 |
| 1851786792 | Michael Lee Goldrich | Internal Medicine | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2015-03-30 |
| 1750784559 | Megan Christine O'brien | Registered Nurse | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2014-10-07 |
| 1891195806 | Journey Meadows | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2014-08-27 |
| 1730422767 | Martine Bernstein | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2013-03-27 |
| 1851669386 | Helen Horvath | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2011-12-12 |
| 1821325861 | Jesse Merjil | Social Worker | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2009-11-12 |
| 1376780981 | Nancy Walsh | Dietitian, Registered | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2009-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| 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 |
|---|---|---|---|---|
| 1801438965 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2031 6th St, Berkeley, CA 94710-2006 | 2019-10-10 |
| 1437791449 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 3075 Adeline St Ste 280, Berkeley, CA 94703-2580 | 2019-10-10 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
| 1497940134 | Berkeley Addiction Treatment Services | Non-Pharmacy Dispensing Site | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2007-09-06 |
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| 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.