LIFELONG MEDICAL CARE (NPI# 1871919233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871919233 |
| Entity Type | Organization |
| Organization Name | LIFELONG MEDICAL CARE |
| Practice Address |
1415 Harrison St Oakland CA 94612-3922 |
| Mailing Address |
2344 6th St Berkeley CA 94710-2412 |
| Practice Telephone | 5109814136 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | MARTY LYNCH (CEO) |
| Authorized Official Telephone | 5109814100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70474G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003289463 | Lifelong Medical Care | Family Medicine | 2 California St, Rodeo, CA 94572-1311 | 2015-11-06 |
| 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 |
| 1801438965 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2031 6th St, Berkeley, CA 94710-2006 | 2019-10-10 |
| Street Address |
1415 HARRISON ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811380082 | Milbert Middlebrooks I | Counselor | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2015-03-12 |
| 1477964435 | Maria Esguerra | Case Management | 1415 Harrison St, Room 201, Oakland, CA 94612-3922 | 2014-05-13 |
| 1083025076 | Jada Folse | Case Management | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2014-05-13 |
| 1457761025 | Lifelong Medical Care | Community/Behavioral Health | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2014-05-05 |
| 1801206446 | Lifelong Medical | Community/Behavioral Health | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2014-05-05 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750904876 | Restorative Justice for Oakland Youth | Case Management | 173 Filbert St, Oakland, CA 94607-2531 | 2020-05-22 |
| 1659838951 | Jessica May | Case Management | 8 Dartmouth Way, Oakland, NJ 07436-3606 | 2019-02-23 |
| 1306315460 | East Oakland Community Project | Case Management | 7515 International Blvd, Oakland, CA 94621-2843 | 2018-11-19 |
| 1194208504 | Abode Services | Case Management | 433 Hegenberger Rd Ste 220, Oakland, CA 94621-1448 | 2018-09-11 |
| 1093202095 | International Rescue Committee, Inc. | Case Management | 440 Grand Ave Ste 500, Oakland, CA 94610-5012 | 2018-04-16 |
| 1598269573 | Superior Court of Ca, Alameda County | Case Management | 661 Washington St Rm 223, Oakland, CA 94607-3922 | 2018-03-22 |
| 1477087005 | Nathaniel Fripp | Case Management | 484 Lake Park Ave, Suite 329, Oakland, CA 94610-2730 | 2017-04-20 |
| 1699210153 | Ashmond Swayne | Case Management | 6405 Brann St Apt B, Oakland, CA 94605-2046 | 2016-12-19 |
| 1639531767 | Abode Services | Case Management | 1700 Broadway Ste 200, Oakland, CA 94612-2141 | 2016-03-28 |
| 1245619378 | Boss-ctec | Case Management | 1600 San Pablo Ave, Oakland, CA 94612-1506 | 2015-05-21 |
| 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.