Organization Active NPI

Health Care for the Homeless

  • Chore Provider
  • Oakland, CA
National Provider Identifier
1932252053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
439624 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.