Organization Active NPI

Lightbridge Health Direct Primary Care

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1851209001
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIGHTBRIDGE HEALTH DIRECT PRIMARY CARE
Practice address
1928 Shattuck Ave
Berkeley, CA 94704-1022
Phone
(510) 292-4255
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Rabin Paudel, MD
Title
President
Phone
(510) 292-4255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1928 Shattuck Ave
Berkeley, CA 94704-1022

Mailing address

1928 Shattuck Ave
Berkeley, CA 94704-1022
Phone (510) 292-4255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1851209001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041022",
            "telephone_number": "510-292-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041022",
            "telephone_number": "510-292-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTBRIDGE HEALTH DIRECT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "PAUDEL",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-292-4255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.