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

Active since June 21, 2005CLIA 05D0690527 · Microscopy
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: July 26, 2026.

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 holds a CLIA Microscopy certificate valid through May 22, 2027, 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
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0690527

West Berkeley Family Practice · Berkeley, CA
Active · expires May 22, 2027
CLIA Number05D0690527
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorKimberly Ceci
Laboratory Phone(510) 981-3213
Laboratory LocationWest Berkeley Family Practice2031 6th St, Berkeley, CA 94710
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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)
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 813-1181
BETH RAKOWER NP
Nurse Practitioner (Family)
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4243
ANTOINETTE LOPEZ MD
Family Medicine
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
TRACY LYNETTE WHITE M.D.
Family Medicine
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
KELLEY SUZANNE STEWART FNP
Registered Nurse
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
MS. KATIE LEWIS L.AC.
Acupuncturist
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
TOBY FURASH N.M.W.
Advanced Practice Midwife
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4200

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 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.

Where is Lifelong Medical Care located?

Lifelong Medical Care is located at 2031 6th St, Berkeley, CA 94710. The listed phone number is (510) 981-4200.

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.

Does Lifelong Medical Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0690527) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifelong Medical Care was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.