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

Active since June 10, 2006
2023 VALE RD, STE 107, SAN PABLO, CA 94806(510) 215-9092(510) 412-9867 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifelong Brookside Community Health Center San Pablo NPPES

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

LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO (NPI 1487696191) is a healthcare organization registered as a community health in San Pablo, California and active in the NPI registry since June 2006. The organization lists Marty Lynch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487696191
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIFELONG MEDICAL CARE
Location Address2023 VALE RD, STE 107San Pablo, CA 94806-3891
Mailing AddressPo Box 11247Berkeley, CA 94712-2247 · (510) 981-4100 · Fax (510) 981-4193
Phone(510) 215-9092
Fax(510) 412-9867
Organization SubpartYes
Authorized OfficialMarty LynchCeo · (510) 981-4100
Enumeration DateJune 10, 2006
Last NPPES UpdateJune 6, 2012
✔ NPI 1487696191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
2023 VALE RD, San Pablo, CA 94806
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Other Names 1

Doing Business AsLifelong Brookside Community Health Center San Pablo

Other Identifiers 5

Medicare UPINF95254
Medicare UPINF88997
Medicare ID-Type Unspecified551837CA
Medicare UPINH76589CA
Medicare UPINE32511

Other Providers at the Same Location NPPES 20

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

DR. MANOJ SUMANLAL DESAI M.D.
Specialist
2023 VALE RD, SUITE # 1
SAN PABLO, CA 94806
Contra Costa County (510) 237-3785
BRIAN BEACHLER
Family Medicine
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 981-4100
DARCY STANLEY CNM/WHNP
Advanced Practice Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
AUDREY I SCHAPS NP
Family Medicine
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 231-9800
JENNIFER RUIZ
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 981-4100
MOLLY ANNE MEKJAVICH CNM
Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
BROOKSIDE COMMUNITY HEALTH CENTER, INC
Clinic/Center (Community Health)
2023 VALE RD, SUITE 107
SAN PABLO, CA 94806
Contra Costa County (510) 231-9810
TENZIN YOUDON LCSW
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092

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 1487696191. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Lifelong Brookside Community Health Center San Pablo.

Where is Lifelong Medical Care located?

Lifelong Medical Care is located at 2023 Vale Rd Ste 107, San Pablo, CA 94806. The listed phone number is (510) 215-9092.

What is Lifelong Medical Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Lifelong Medical Care was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.