Healthcare Provider Details

I. General information

NPI: 1790611226
Provider Name (Legal Business Name): FIVE KEYS SCHOOLS AND PROGRAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 13TH ST FL 2
OAKLAND CA
94612-3953
US

IV. Provider business mailing address

320 13TH ST FL 2
OAKLAND CA
94612-3953
US

V. Phone/Fax

Practice location:
  • Phone: 415-734-3310
  • Fax: 415-734-3314
Mailing address:
  • Phone: 415-734-3310
  • Fax: 415-734-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVE GOOD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 415-652-9130