FIRST RESORT NPI 1053657569

NPI Information

  • NPI: 1053657569
  • Provider Name: FIRST RESORT
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • CLIA Number: 05D0700370
  • Address: 400 30TH ST
    SUITE 401
    OAKLAND, CA
    ZIP 94609
  • Phone: (510) 891-9985

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NPI Details

FIRST RESORT is a community health clinic center in Oakland, CA. FIRST RESORT NPI is 1053657569. The provider is registered as an organization entity type.

The provider's business location address is:

400 30TH ST
SUITE 401
OAKLAND, CA
ZIP 94609-306
Phone: (510) 891-9985

The provider's authorized official is Valerie Janay Doyle .
The authorized official title is Director Of Programs and has the following contact phone number (510) 569-1200.

The CLIA number assigned to this NPI record is 05D0700370 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2013 and was last updated on 1/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity Health220000477CALIFORNIANo
2261QC1500XClinic/CenterCommunity Health220000395CALIFORNIANo
3261QC1500XClinic/CenterCommunity Health140000330CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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