NPIMap

Organization Active NPI

First Place for Youth

  • Foster Care Agency
  • Fairfield, CA
National Provider Identifier
1730538703
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
487005103 Issued in CA
Legal business name
FIRST PLACE FOR YOUTH
Practice address
1545 N Texas St Ste 100
Fairfield, CA 94533-5623
Phone
(510) 272-0979
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Sam Cobbs
Title
Chief Executive Officer
Phone
(510) 272-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 487005103 CA Primary

Addresses

Primary practice location

1545 N Texas St Ste 100
Fairfield, CA 94533-5623

Mailing address

426 17TH St Ste 100
Oakland, CA 94612-2814
Phone (510) 272-0979

National Provider Directory

National Provider Directory
Tax ID family
First Place for Youth4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1545 N Texas St
Ste 100
Fairfield, CA 94533
Phone (510) 272-0979

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1730538703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 17TH ST STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122814",
            "telephone_number": "510-272-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N TEXAS ST STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335623",
            "telephone_number": "510-272-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PLACE FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-272-0979"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "487005103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.