LB
Medical Clinic
LIFELONG BROOKSIDE SAN PABLO DENTAL CARE
2023 VALE RD, SUITE 114, SAN PABLO, CA 94806
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 751194
- LTC
- NON-LTC
- NPI
- 1976931295
- ZIP
- 94806
- id
- 12784
- CITY
- SAN PABLO
- FLAG
- USE PARENT MATCH
- ZIP9
- 3834
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630027594
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 2023 VALE RD, SUITE 114
- AO NAME
- Not reported
- FACNAME
- LIFELONG BROOKSIDE SAN PABLO DENTAL CARE
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 37.954014
- LOCATION
- (-122.338284,37.954014003)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.338284
- CCLHO CODE
- 7
- CCLHO NAME
- CONTRA COSTA
- START DATE
- 01NOV2023
- TRAUMA CTR
- Not reported
- ASPEN FACID
- 630016219
- COUNTY CODE
- 60
- COUNTY NAME
- CONTRA COSTA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630016219
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2016-01-12T00:00:00
- BUSINESS NAME
- LIFELONG MEDICAL CARE
- DISTRICT NAME
- EAST BAY
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550003292
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 2
- FIPS COUNTY CODE
- 6013
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2015-11-08T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2015-11-08T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-12-01T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-11-07T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of LIFELONG BROOKSIDE SAN PABLO DENTAL CARE
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