LIFELINE TREATMENT SERVICES INC
NPI 1689890758
Clinic/Center - Methadone in Oakland, CA

Q: What is Lifeline Treatment Services Inc's NPI number?

The NPI number for Lifeline Treatment Services Inc is 1689890758. It was assigned to this organization in the NPPES registry on April 17, 2007.

Q: What is Lifeline Treatment Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since April 17, 2007

10429 INTERNATIONAL BLVD, OAKLAND, CA 94603(510) 777-8448(510) 777-8452 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2021, Jan 8, 2020, Sep 2, 2016 and 1 more (4 updates tracked since 2016).

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About Lifeline Treatment Services Inc NPPES

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

LIFELINE TREATMENT SERVICES INC (NPI 1689890758) is a healthcare organization registered as a methadone in Oakland, California and active in the NPI registry since April 2007. The organization lists Cynthia Ann Blanks, C E O, as its authorized official.

NPPES Registry Identity

NPI1689890758

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameLIFELINE TREATMENT SERVICES INC

Location Address10429 INTERNATIONAL BLVDOakland, CA 94603-3221

Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (661) 254-6630 · Fax (661) 254-6644

Phone(510) 777-8448

Fax(510) 777-8452

Organization SubpartNo

Authorized OfficialCynthia Ann BlanksC E O · (661) 254-6630

Enumeration DateApril 17, 2007

Last NPPES UpdateOctober 31, 20254 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1689890758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in CA · 0195

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

10429 INTERNATIONAL BLVD, Oakland, CA 94603

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Other Identifiers 2

Other0196CA · Medi-cal Number

Other01-99CA · State Ntp License

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

1,113 services38 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

237 services19 patients

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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.

MR. KEITH BRONSON MOORE JR. LVN

Licensed Vocational Nurse