# HEALTH CARE FOR THE HOMELESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932252053
- **Authorized official:** MRS. OTERIA RANDALL KOAYEN FNP (CLINICIAN)
- **Authorized official phone:** (510) 532-1930

## Contact information

- **Practice address:** 1900 FRUITVALE AVE, OAKLAND, CA 94601-2464
- **Practice address phone:** (510) 532-1930
- **Mailing address:** 1166 BROOKTRAIL DR, PITTSBURG, CA 94565-7627
- **Mailing address phone:** (925) 562-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | 439624 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020