Individual provider Active NPI

Julia Marino, MD

  • Family Medicine Physician
  • Berkeley, CA
National Provider Identifier
1043735111
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
181856 Issued in CA
Practice address
Lifelong Ashby Health Center
3075 Adeline St #280
Berkeley, CA 94703-9470
Phone
(510) 981-4100
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 181856 CA Primary

Addresses

Primary practice location

Lifelong Ashby Health Center
3075 Adeline St #280
Berkeley, CA 94703-9470

Mailing address

Lifelong Ashby Health Center
3075 Adeline St #280
Berkeley, CA 94703-2302
Phone (510) 981-4100

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6450

Other practice location 2

LifeLong East Oakland Health Center
10700 MacArthur Blvd
Oakland, CA 94605
Phone (510) 981-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201001276 CA Practitioner - Family Practice 7517335136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical CareGroup PAC ID 2062304538, 75 clinicians

Practice addresses (Care Compare)

2031 6TH St
Berkeley, CA 94710-2006
Phone (510) 981-4200

Hospital & facility affiliations

  • Ace Home Health Care & Hospice, Inc Home health agency, Orinda, CA, CCN 059461
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181856CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Nov 14, 2022 Accepting new patients
Lifelong Medical Care Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 486-3415

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1043735111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIFELONG ASHBY HEALTH CENTER",
            "address_2": "3075 ADELINE ST #280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032302",
            "telephone_number": "510-981-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFELONG ASHBY HEALTH CENTER",
            "address_2": "3075 ADELINE ST #280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947039470",
            "telephone_number": "510-981-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "LifeLong East Oakland Health Center",
            "address_2": "10700 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94605",
            "country_code": "US",
            "telephone_number": "510-981-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "181856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.