LA CLINICA DE LA RAZA INC (NPI# 1528080470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080470 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA INC |
| Other Organization Name | LA CLINICA PITTSBURG DENTAL |
| Practice Address |
339 E Leland Rd Pittsburg CA 94565-4911 |
| Mailing Address |
1601 Fruitvale Ave Oakland CA 94601-2322 |
| Practice Telephone | 9254311250 |
| Practice Fax Number | 9254311252 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MRS. 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 |
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 | FHC70833F | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica Pittsburg 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 |
| 1326154360 | La Clinica De La Raza Inc | Clinic/Center | 3050 E 16th St, Oakland, CA 94601-2319 | 2006-08-22 |
| 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 |
| Street Address |
339 E LELAND RD |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942244728 | Lady Fatima Pineda Lam | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2006-06-15 |
| 1932736774 | Ebony Shardae Helaire | Student in an Organized Health Care Education/Training Program | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2020-03-23 |
| 1235635418 | Kelly Kim Nguyen | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2018-04-05 |
| 1427550813 | Jaclyn Young | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2018-03-01 |
| 1952758823 | Thelma Porras-guaderrama | Dental Hygienist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2016-05-19 |
| 1508004466 | Riza Flores Santos | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2009-01-30 |
| 1538262738 | Alan R Smiler | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1568540763 | Contra Costa County | Clinic/Center | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2006-11-02 |
| 1669474425 | Community Health Center of Southeast Kansas Inc | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
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| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
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| Find all providers with the same taxonomy | ||||
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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.