WEST BERKELEY FAMILY PRACTICE
NPI 1720084163
Family Medicine - Adolescent Medicine in Berkeley, CA

Q: What is Lifelong Medical Care's NPI number?

The NPI number for Lifelong Medical Care is 1720084163. It was assigned to this organization in the NPPES registry on June 21, 2005. The provider is doing business as West Berkeley Family Practice.

Q: What is Lifelong Medical Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Active since June 21, 2005

2031 6TH ST, BERKELEY, CA 94710(510) 981-4200 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About West Berkeley Family Practice NPPES

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

WEST BERKELEY FAMILY PRACTICE (NPI 1720084163) is a healthcare organization registered as an adolescent medicine in Berkeley, California and active in the NPI registry since June 2005. The organization maintains a secondary practice location in Berkeley and lists Marty Lynch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720084163

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameLIFELONG MEDICAL CARE

Location Address2031 6TH STBerkeley, CA 94710-2006

Mailing AddressPo Box 11247Berkeley, CA 94712-2247 · (510) 981-4100

Phone(510) 981-4200

Organization SubpartNo

Authorized OfficialMarty LynchCeo · (510) 981-4100

Enumeration DateJune 21, 2005

Last NPPES UpdateApril 4, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1720084163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

License✔ Licensed in CA · 020000503

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 020000503 (CA)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 020000503 (CA)

Also ListedPediatricsTaxonomy 208000000X · License 020000503 (CA)

2031 6TH ST, Berkeley, CA 94710

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Other Names 1

Doing Business AsWest Berkeley Family Practice

Secondary Practice Location 1

Location 1837 Addison StBerkeley, CA 94710-2047 · Phone (510) 981-4100

Other Identifiers 2

OtherHAP70635FCA · Family Pact

MedicaidFHC70635FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MR. SHARAD KUMAR KOHLI M.D.

Family Medicine

2031 6TH ST, WEST BERKELEY FAMILY PRACTICE
BERKELEY, CA 94710

Alameda County (510) 981-4234

MS. ERICA YOSHIE DIAMANT FNP

Nurse Practitioner (Family)