First Resort

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

140000330 Issued in CA

Legal business name

FIRST RESORT

Practice address

400 30TH St
Suite 401
Oakland, CA 94609-3306

Phone

(510) 891-9985

NPI assigned

Jan 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Valerie Janay Doyle, M.A.

Title

Director of Programs

Phone

(510) 569-1200

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1053657569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 DAVIS ST",
            "address_2": "SUITE 200B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771260",
            "telephone_number": "510-569-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 30TH ST",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093306",
            "telephone_number": "510-891-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST RESORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JANAY",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "510-569-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "140000330",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "220000477",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "220000395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.