NPIMap

Organization Active NPI

Lifelong Medical Care

  • Substance Abuse Rehabilitation Facility
  • Oakland, CA
National Provider Identifier
1346726239
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIFELONG MEDICAL CARE
Practice address
2545 San Pablo Ave
Oakland, CA 94612-1121
Phone
(510) 446-7160
NPI assigned
Jul 14, 2018
Organization subpart
No

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

National Provider Directory

National Provider Directory
Tax ID family
Lifelong Medical44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

2545 San Pablo Ave
Oakland, CA 94612
Phone (510) 446-7150

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Kanwar D Singh
Title
Cfo
Phone
(510) 981-4122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

2545 San Pablo Ave
Oakland, CA 94612-1121

Mailing address

PO Box 11247
Berkeley, CA 94712-2247
Phone (510) 981-4100

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1346726239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11247",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947122247",
            "telephone_number": "510-981-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121121",
            "telephone_number": "510-446-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KANWAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-981-4122"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.