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LIFELONG MEDICAL CARE - EASTMONT
NPI 1831443563
Clinic/Center - Federally Qualified Health Center (FQHC) in Oakland, CA

Active since November 02, 2012
7200 BANCROFT AVE, SUITE 125A, OAKLAND, CA 94605(510) 430-8740 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifelong Medical Care - Eastmont NPPES

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

LIFELONG MEDICAL CARE - EASTMONT (NPI 1831443563) is a healthcare organization registered as a federally qualified health center (fqhc) in Oakland, California and active in the NPI registry since November 2012. The organization lists Rick Clark, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1831443563
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLIFELONG MEDICAL CARE - EASTMONT
Location Address7200 BANCROFT AVE, SUITE 125AOakland, CA 94605-2403
Mailing AddressPo Box 11247Berkeley, CA 94712-2247 · (510) 981-4122
Phone(510) 430-8740
Organization SubpartNo
Authorized OfficialRick ClarkChief Financial Officer · (510) 981-4122
Enumeration DateNovember 2, 2012
✔ NPI 1831443563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
7200 BANCROFT AVE, Oakland, CA 94605
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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.

TANYA MCCULLOM
Case Manager/Care Coordinator
7200 BANCROFT AVE, SUITE 125D
OAKLAND, CA 94605
Alameda County (510) 777-3886
DANICE HAMLIN
Registered Nurse (Community Health)
7200 BANCROFT AVE
OAKLAND, CA 94605
Alameda County (443) 759-1083
KRISTIE LYNNA EDWARDS
Counselor
7200 BANCROFT AVE
OAKLAND, CA 94605
Alameda County (510) 538-8500
MS. RENEE DEANNA SADIQ LCSW
Social Worker (Clinical)
7200 BANCROFT AVE, STE 125D
OAKLAND, CA 94605
Alameda County (510) 777-3889
DR. SCOTT JAY MADOVER PH.D.
Psychologist (Family)
7200 BANCROFT AVE, EASTMONT TOWN CENTER BLDG. B SUITE 133
OAKLAND, CA 94605
Alameda County (510) 553-8500
CRYSTAL NOEL O'CONNELL MSC, MFTI
Counselor (Mental Health)
7200 BANCROFT AVE, BUILDING B #133
OAKLAND, CA 94605
Alameda County (707) 590-3603
MS. CHRISTINE MUKAI LCSW
Social Worker (Clinical)
7200 BANCROFT AVE, SUITE 125C
OAKLAND, CA 94605
Alameda County (510) 383-5068
OAKLAND & ALAMEDA CHILDREN'S SERVICES
Marriage & Family Therapist
7200 BANCROFT AVE, #125-D
OAKLAND, CA 94605
Alameda County (510) 777-3870

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 - Eastmont's NPI number?

The NPI number for Lifelong Medical Care - Eastmont is 1831443563. It was assigned to this organization in the NPPES registry on November 2, 2012.

Where is Lifelong Medical Care - Eastmont located?

Lifelong Medical Care - Eastmont is located at 7200 Bancroft Ave Suite 125A, Oakland, CA 94605. The listed phone number is (510) 430-8740.

What is Lifelong Medical Care - Eastmont's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lifelong Medical Care - Eastmont was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.