OVER SIXTY HEALTH CENTER – NPI #1689670002
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

OVER SIXTY HEALTH CENTER is a provider located in BERKELEY, CA. NPPES has assigned the NPI number 1689670002 to OVER SIXTY HEALTH CENTER on June 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OVER SIXTY HEALTH CENTER” is a dba name, the actual legal business name for this organization is LIFELONG MEDICAL CARE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric 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 OVER SIXTY HEALTH CENTER below.

NPI Profile for
LIFELONG MEDICAL CARE

NPI Number
1689670002
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): OVER SIXTY HEALTH CENTER
Primary location
3260 SACRAMENTO ST
BERKELEY, CA 94702-2739
Phone: (510) 428-4500 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 OVER SIXTY HEALTH CENTER

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
MEDICAIDCAFHC70859F
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)		 CA 140000191
207QA0505X
- Family Medicine / Adult Medicine		 CA 140000191

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.