NPIMap

Organization Active NPI

Lifelong Medical Care

  • Family Medicine Physician
  • Emeryville, CA
National Provider Identifier
1427400167
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFELONG MEDICAL CARE
Practice address
4727 San Pablo Ave
Room B214
Emeryville, CA 94608-3035
Phone
(510) 981-4100
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFELONG MEDICAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mr. Martin Lynch, PHD
Title
Chief Executive Officer
Phone
(510) 981-4123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4727 San Pablo Ave
Room B214
Emeryville, CA 94608-3035

Mailing address

2344 6TH St
Berkeley, CA 94710-2412

Other names 1

  • LifeLong Emeryville Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427400167. Details of each certification follow.

  • CCN A01967 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN A01967

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIFELONG MEDICAL CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 10, 2025
Last certification
Jul 10, 2025
Ownership / control type
For profit – corporation
Facility address
4727 San Pablo Ave, RM B214
Emeryville, CA 94608

National Provider Directory

National Provider Directory
Tax ID family
Lifelong Jenkins Pediatric Center44 organizations share this tax ID, including this one
Part of
Lifelong Jenkins Pediatric Center

Other organizations with this tax ID 43

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

View all 43

Locations

4727 San Pablo Ave
Rm B214
Emeryville, CA 94608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1427400167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 6TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAN PABLO AVE",
            "address_2": "ROOM B214",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083035",
            "telephone_number": "510-981-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG MEDICAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELONG MEDICAL CARE",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-981-4123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLong Emeryville Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.