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LIFELONG MEDICAL CARE
NPI 1073405429
Clinic/Center in Berkeley, CA

Active since July 18, 2025
830 UNIVERSITY AVE, BERKELEY, CA 94710(916) 749-6192 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifelong Medical Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELONG MEDICAL CARE (NPI 1073405429) is a healthcare organization registered as a clinic/center in Berkeley, California and active in the NPI registry since July 2025. The organization lists Brent Copen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073405429
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIFELONG MEDICAL CARE
Location Address830 UNIVERSITY AVEBerkeley, CA 94710-2044
Mailing Address2344 6th StBerkeley, CA 94710-2412 · (916) 749-6192
Phone(916) 749-6192
Organization SubpartNo
Authorized OfficialBrent CopenCfo · (610) 918-4122
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1073405429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
830 UNIVERSITY AVE, Berkeley, CA 94710
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Other Names 1

Other NameBerkeley Trust

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELIZABETH ANN STUMM
Student in an Organized Health Care Education/Training Program
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5350
DAVID LEUNG
Health Educator
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5397
KIEU PHUONG PROUD
Registered Nurse
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5333
JANET M. BERREMAN MD, MPH
Pediatrics
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5301
JANET ELLEN CUSICK RN
Registered Nurse
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5392
ELIZABETH BEGE
Health Educator
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5350
SANDRA HUNTER
Community Health Worker
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5350
MS. GIANA BORGMAN N.P.
Nurse Practitioner (Women's Health)
830 UNIVERSITY AVE
BERKELEY, CA 94710
Alameda County (510) 981-5350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifelong Medical Care's NPI number?

The NPI number for Lifelong Medical Care is 1073405429. It was assigned to this organization in the NPPES registry on July 18, 2025. The provider is also known as Berkeley Trust.

Where is Lifelong Medical Care located?

Lifelong Medical Care is located at 830 University Ave, Berkeley, CA 94710. The listed phone number is (916) 749-6192.

What is Lifelong Medical Care's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lifelong Medical Care was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.