WEST BERKELEY FAMILY PRACTICE
NPI 1720084163
Family Medicine - Adolescent Medicine in Berkeley, CA
NPI Status: Active since June 21, 2005
Contact Information
2031 6TH ST
BERKELEY, CA
ZIP 94710
Phone: (510) 981-4200
- Organization
- Family Medicine
- Adolescent Medicine
- CLIA Number: 05D0690527
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 05-22-2027
About WEST BERKELEY FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for West Berkeley Family Practice, a primary care provider established in Berkeley, California operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1720084163 assigned on June 2005. The practitioner's primary taxonomy code is 207QA0000X with license number 020000503 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. West Berkeley Family Practice operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as West Berkeley Family Practice. The authorized official of this NPI record is Mr. Marty Lynch N/a (Ceo)
- NPI
- 1720084163
- Provider Legal Name
- LIFELONG MEDICAL CARE
- Other Organization Name
- WEST BERKELEY FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2031 6TH ST BERKELEY, CA 94710
- Location Phone
- (510) 981-4200
- Mailing Address
- PO BOX 11247 BERKELEY, CA 94712
- Mailing Phone
- (510) 981-4100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 04-04-2022
- Code Navigator
A primary care provider (PCP) like West Berkeley Family Practice 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
Secondary Locations
- 837 Addison St
Berkeley, CA 94710
(510) 981-4100
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
Family Medicine Adolescent Medicine
- Taxonomy Code
- 207QA0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 020000503
- License State
- CA
- Taxonomy Description
- A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | 020000503 (CA) |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 020000503 (CA) |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 020000503 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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 |
|---|---|---|---|
| HAP70635F | OTHER (01) | CA | FAMILY PACT |
| FHC70635F | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0690527
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- May 23, 2025
- Certificate Expiration Date
- May 22, 2027
- Laboratory Director
- KIMBERLY CECI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to West Berkeley Family Practice in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for WEST BERKELEY FAMILY PRACTICE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1720084163, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
BERKELEY, CA 94710
BERKELEY, CA 94710
BERKELEY, CA 94710
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720084163, enumerated as an "organization" on June 21, 2005.
The provider is located at 2031 6TH ST BERKELEY, CA 94710 and the phone number is (510) 981-4200.
Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
