LA CLINICA DE LA RAZA, INC. (NPI# 1770902314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770902314 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA, INC. |
| Practice Address |
1450 Fruitvale Ave 3rd Floor Oakland CA 94601-2313 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 5105354000 |
| Practice Fax Number | 5105354189 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | JANE GARCIA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5105354000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118675 | La Clinica De La Raza, Inc. | Clinic/Center | 2005c Main St, Oakley, CA 94561-3301 | 2017-11-17 |
| 1669773008 | La Clinica De La Raza, Inc. | Clinic/Center | 3709 E 12th St, Oakland, CA 94601-4001 | 2010-11-16 |
| 1629379896 | La Clinica De La Raza, Inc. | Clinic/Center | 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 | 2010-11-04 |
| 1851522015 | La Clinica De La Raza, Inc. | Clinic/Center | 1926 - 19th Avenue, Oakland, CA 94606-4126 | 2009-08-05 |
| 1184194482 | La Clinica De La Raza, Inc. | Pharmacy | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-11-29 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1023445780 | La Clinica De La Raza, Inc. | Clinic/Center | 1700 28th Ave, Oakland, CA 94601-2455 | 2013-09-26 |
| 1245671726 | La Clinica De La Raza, Inc. | Clinic/Center | 1390 66th Ave, Oakland, CA 94621-3506 | 2013-07-11 |
| 1578834164 | La Clinica De La Raza, Inc. | Clinical Medical Laboratory | 2021 Main St, Oakley, CA 94561-3302 | 2012-01-13 |
| 1730476110 | La Clinica De La Raza, Inc. | Pharmacy | 1030 International Blvd, Oakland, CA 94606-3730 | 2011-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA CLINICA DE LA RAZA, INC. | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Street Address |
1450 FRUITVALE AVE 3RD FLOOR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454761 | Thomas Sean Halligan | Family Medicine | 1450 Fruitvale Ave, 3rd Floor, Oakland, CA 94601-2313 | 2006-09-06 |
| 1033517198 | Reanna Rodriguez | Dental Hygienist | 1450 Fruitvale Ave, Oakland, CA 94601-2313 | 2014-12-05 |
| 1497082739 | Kristina Thai Tran | Dentist | 1450 Fruitvale Ave, Oakland, CA 94601-2313 | 2009-11-06 |
| 1902936404 | William Arturo Manuel Arredondo | Social Worker | 1450 Fruitvale Ave, Oakland, CA 94601 | 2007-03-06 |
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501792 | Asian Health Services | Clinic/Center | 190 11th St, Oakland, CA 94607-4878 | 2017-11-14 |
| 1407109986 | County of Alameda Health Care Services Agency | Clinic/Center | 384 14th St, Oakland, CA 94612-3211 | 2012-10-20 |
| 1073827242 | Asian Health Services | Clinic/Center | 817 Harrison Street, Oakland, CA 94607-4422 | 2010-07-30 |
| 1104959089 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd Suite 200, Oakland, CA 94605-2409 | 2007-03-13 |
| 1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
| 1003340738 | Roosevelt School-based Behavioral Health | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2017-04-19 |
| 1386096691 | Asian Health Services | Clinic/Center | 310 8th St Ste 210, Oakland, CA 94607 | 2016-07-11 |
| 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 |
| 1750656427 | Asian Health Services - Behavior Services | Clinic/Center | 818 Webster St, Oakland, CA 94607-4220 | 2012-03-14 |
| 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.