Samali Kasozi Lubega, MD

Individual provider Active NPI Family Medicine Physician · Oakland, CA

NPI 1295081180 · NPPES record last updated Oct 17, 2022

Key facts

NPI
1295081180
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
A129262 (CA)
Practice address
10700 Macarthur Blvd Ste 14B
Oakland, CA 94605-5260
Phone
(510) 981-4100
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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 2

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

Medicare Care Compare profile

Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical Care (75 clinicians)

Practice addresses (Care Compare)

10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5260
Phone (510) 563-4300

Hospital & facility affiliations

  • A1 Pro Home Health Inc. Home health agency · San Leandro, CA · CCN 757933
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital · Berkeley, CA · CCN 050305

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150601000380 CA Practitioner - Family Practice 7517288756 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129262CAMDFamily Medicine Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care Family Medicine Current
since Aug 9, 2018
Accepting new patients
Lifelong Medical Care Current
since Aug 9, 2018
Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: slubega280814@direct.ochin.org
  • Direct secure messaging: samali.lubega.1@26145.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A129262 CA Yes

Addresses

Primary practice location

10700 Macarthur Blvd Ste 14B
Oakland, CA 94605-5260

Mailing address

10700 Macarthur Blvd Ste 14B
Oakland, CA 94605-5260

Other names

  • Dr. Samali Lubega Other name

Other providers in Oakland, CA

All providers in Oakland, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.