LA CLINICA DE LA RAZA INC (NPI# 1326154360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326154360 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA INC |
| Other Organization Name | LA CLINICA DE LA RAZA--DENTAL |
| Practice Address |
3050 E 16th St Oakland CA 94601-2319 |
| Mailing Address |
1601 Fruitvale Ave Oakland CA 94601-2322 |
| Practice Telephone | 5105354000 |
| Practice Fax Number | 5105354189 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | MS. JANE GARCIA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5105354000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
CA | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC12017F | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica de La Raza--Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992863096 | La Clinica De La Raza Inc | Clinic/Center | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2006-12-04 |
| 1144336181 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 3451 E 12th St, Oakland, CA 94601-3425 | 2006-08-22 |
| 1124035159 | La Clinica De La Raza Inc | Optometrist | 3060b E 9th St, Oakland, CA 94601-2322 | 2006-08-02 |
| 1538181482 | La Clinica De La Raza Inc | Clinic/Center | 2000 Sierra Road, Concord, CA 94518-2905 | 2006-07-23 |
| 1780606632 | La Clinica De La Raza Inc | Clinic/Center | 2920a Sonoma Blvd, Vallejo, CA 94590-3879 | 2006-07-23 |
| 1346262292 | La Clinica De La Raza Inc | Clinic/Center | 4881 Telegraph Ave, Oakland, CA 94609-2009 | 2006-07-23 |
| 1013085778 | La Clinica De La Raza Inc | Clinic/Center | 4351 Broadway, Oakland, CA 94611-4612 | 2006-12-01 |
| 1619056926 | La Clinica De La Raza Inc | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2006-11-06 |
| 1174639116 | La Clinica De La Raza Inc | Clinic/Center | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2006-08-22 |
| 1235245275 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 1515 Fruitvale Ave, Oakland, CA 94601-2322 | 2006-08-22 |
| Street Address |
3050 E 16TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831615129 | Karin Elisabeth Vanberg | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2017-08-17 |
| 1053775064 | Samantha Aguinaldo-wetterholm | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2016-04-06 |
| 1598135642 | Vishavjeet Girn | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2015-10-01 |
| 1730572447 | Gregory Mar | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2015-03-05 |
| 1598087439 | Dina Mireya Ilijic Manzanera | Dental Hygienist | 3050 E 16th St, Oakland, CA 94601-2319 | 2010-02-19 |
| 1225279862 | Preeti M Chopra | Dentist | 3050 E 16th St, Suite # 114, Oakland, CA 94601-2319 | 2009-03-11 |
| 1083850481 | Jodene Loree Burklund | Dental Hygienist | 3050 E 16th St, Oakland, CA 94601-2319 | 2009-01-06 |
| 1356515837 | Jennifer Soh | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2008-04-16 |
| 1265554166 | Monica Grisel Macvane-pearson | Dentist | 3050 E 16th St, Oakland, CA 94601-2319 | 2007-04-04 |
| 1316040421 | Norma Solarz | Dentist | 3050 E 16th St, Oakland, CA 94601 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
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| 1386096691 | Asian Health Services | Clinic/Center | 310 8th St Ste 210, Oakland, CA 94607 | 2016-07-11 |
| 1770902314 | La Clinica De La Raza, Inc. | Clinic/Center | 1450 Fruitvale Ave, 3rd Floor, Oakland, CA 94601-2313 | 2014-04-10 |
| 1831443563 | Lifelong Medical Care - Eastmont | Clinic/Center | 7200 Bancroft Ave, Suite 125a, Oakland, CA 94605-2403 | 2012-11-02 |
| 1467718148 | Asian Health Services | Clinic/Center | 275 14th St, Oakland, CA 94612-4070 | 2012-04-06 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.