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NPI · 1720084163 · NPPES-sourced

Lifelong Medical Care

ActiveAdolescent Medicine (Family Medicine) Physician
NPI Number
1720084163
Type 2 · Organisation
Contact
(510) 981-4200
License CA · 020000503
Last Updated
Enumerated
Primary practice addressCA · 94710-2006
2031 6th StBerkeley, CA 94710-2006
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About this NPIWhat this record shows.

NPI 1720084163 is registered to Lifelong Medical Care, a healthcare organisation classified as "Adolescent Medicine (Family Medicine) Physician" and located at 2031 6th St in Berkeley, California. The organisation's authorised official is Marty Lynch. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • HAP70635FCA· Issued by FAMILY PACT

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lifelong Medical Care accepts. To confirm in-network status with your specific health plan, contact Lifelong Medical Care directly at (510) 981-4200.

Frequently asked

Yes. NPI 1720084163 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adolescent Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (510) 981-4200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lifelong Medical Care is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QA0000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Adolescent Medicine (Family Medicine) Physician providers in California.

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