BERKELEY PRIMARY CARE – NPI #1518963693
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BERKELEY PRIMARY CARE is a provider located in BERKELEY, CA. NPPES has assigned the NPI number 1518963693 to BERKELEY PRIMARY CARE on June 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BERKELEY PRIMARY CARE” is a dba name, the actual legal business name for this organization is LIFELONG MEDICAL CARE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Oct 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BERKELEY PRIMARY CARE below.

NPI Profile for
LIFELONG MEDICAL CARE

NPI Number
1518963693
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFELONG MEDICAL CARE
Doing Business As (dba): BERKELEY PRIMARY CARE
Primary location
2001 DWIGHT WAY
RM 1363
BERKELEY, CA 94704-2608
Phone: (510) 204-4666 Fax:
Mailing address
PO BOX 11247
BERKELEY, CA 94712-2247
Phone: (510) 981-4100 Fax:
Organization Subpart
No
Authorized Official
MARTY LYNCH
CEO
Phone: (510) 981-4100
Updated
Identifiers

Identifiers for BERKELEY PRIMARY CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFAMILY PACTCAHAP70474G
MEDICAIDCAFHC70474G
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 140000372

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.