LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO
NPI 1487696191
Clinic/Center - Community Health in San Pablo, CA

NPI Status: Active since June 10, 2006

Contact Information

2023 VALE RD
STE 107
SAN PABLO, CA
ZIP 94806
Phone: (510) 215-9092
Fax: (510) 412-9867

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  • Organization
  • Clinic/Center
  • Community Health

About LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO

This page provides the complete NPI Profile along with additional information for Lifelong Brookside Community Health Center San Pablo, a primary care provider established in San Pablo, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1487696191 assigned on June 2006. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Lifelong Brookside Community Health Center San Pablo. The authorized official of this NPI record is Marty Lynch (Ceo)

NPI
1487696191
Provider Legal Name
LIFELONG MEDICAL CARE
Other Organization Name
LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2023 VALE RD STE 107 SAN PABLO, CA 94806
Location Phone
(510) 215-9092
Location Fax
(510) 412-9867
Mailing Address
PO BOX 11247 BERKELEY, CA 94712
Mailing Phone
(510) 981-4100
Mailing Fax
(510) 412-9867
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-10-2006
Last Update Date
06-06-2012
Code Navigator

A primary care provider (PCP) like Lifelong Brookside Community Health Center San Pablo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTY LYNCH

Authorized Official Title
CEO
Authorized Official Phone
(510) 981-4100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F95254MEDICARE UPIN (02) 
F88997MEDICARE UPIN (02) 
551837MEDICARE ID-TYPE UNSPECIFIED (04)CA 
H76589MEDICARE UPIN (02)CA 
E32511MEDICARE UPIN (02) 

Reviews for LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487696191, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 9 + 1 + 2 + 1 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1487696191.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Surgery
2023 VALE RD, SUITE 8
SAN PABLO, CA 94806
Specialist
2023 VALE RD, SUITE # 1
SAN PABLO, CA 94806
Pharmacist
2023 VALE RD, SUITE 101
SAN PABLO, CA 94806
Internal Medicine
2023 VALE RD, SUITE 110
SAN PABLO, CA 94806
Clinic/Center (Primary Care)
2023 VALE RD, SUITE 211
SAN PABLO, CA 94806
Surgery
2023 VALE RD, SUITE 214
SAN PABLO, CA 94806
Clinic/Center (Community Health)
2023 VALE RD, SUITE 107
SAN PABLO, CA 94806
Family Medicine
2023 VALE RD, #107
SAN PABLO, CA 94806
Clinic/Center (Primary Care)
2023 VALE RD, SUITE 107
SAN PABLO, CA 94806
Midwife
2023 VALE RD
SAN PABLO, CA 94806
Midwife
2023 VALE RD
SAN PABLO, CA 94806
Physician Assistant
2023 VALE RD, #107
SAN PABLO, CA 94806
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Advanced Practice Midwife
2023 VALE RD
SAN PABLO, CA 94806
Nurse Practitioner (Pediatrics)
2023 VALE RD
SAN PABLO, CA 94806
Nurse Practitioner (Family)
2023 VALE RD
SAN PABLO, CA 94806
Hospitalist
2023 VALE RD, SUITE 211
SAN PABLO, CA 94806
Dentist (General Practice)
2023 VALE RD
SAN PABLO, CA 94806
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487696191, enumerated as an "organization" on June 10, 2006.

The provider is located at 2023 VALE RD STE 107 SAN PABLO, CA 94806 and the phone number is (510) 215-9092.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.