Active NPI
Health Care for the Homeless
- Chore Provider
- Oakland, CA
National Provider Identifier
1932252053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 439624
- Legal business name
- HEALTH CARE FOR THE HOMELESS
- Practice address
- 1900 Fruitvale Ave
Oakland, CA 94601-2464 - Phone
- (510) 532-1930
- NPI assigned
- Jan 19, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Oteria Randall Koayen, FNP
- Title
- Clinician
- Phone
- (510) 532-1930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 439624 | CA | Primary |
Addresses
Primary practice location
1900 Fruitvale Ave
Oakland, CA 94601-2464
Mailing address
1166 Brooktrail Dr
Pittsburg, CA 94565-7627
Phone (925) 562-9335
National Provider Directory
National Provider DirectoryLocations
1900 Fruitvale Ave
Oakland, CA 94601
Phone (510) 532-1930
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Oakland, CA
- NPI 1902084924
-
- Critical Care Medicine Nurse Practitioner
- Pittsburg, CA
- NPI 1508060237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932252053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 BROOKTRAIL DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945657627",
"telephone_number": "925-562-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012464",
"telephone_number": "510-532-1930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CARE FOR THE HOMELESS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOAYEN",
"authorized_official_first_name": "OTERIA",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "510-532-1930",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "CA",
"license": "439624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
- Esther Healey, L.M., C.P.M.
- Healing Arts Chiropractic
- Healing Hands Chiropractic
- Health 101 Chiropractic and Nutrition
- Health and Human Resource Education Center
- Healthflex Home Health Services
- Healthflex Hospice
- Healthy Babies Project, Inc
- Healthy Babies Project, Inc
- Healthy Communities, Incorporated (Healthy Oakland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.