LA CLINICA DE LA RAZA INC NPI 1013085778

NPI Information

NPI: 1013085778
Provider Name: LA CLINICA DE LA RAZA INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: TECHNICLINIC
CLIA Number: 05D2131966
Address: 4351 BROADWAY
OAKLAND, CA
ZIP 94611
Phone: (510) 879-1907

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NPI Details

LA CLINICA DE LA RAZA INC is a federally qualified health center (fqhc) clinic center in Oakland, CA. LA CLINICA DE LA RAZA INC NPI is 1013085778. The provider is registered as an organization entity type.
The provider Is Doing Business As Techniclinic.

The provider's business location address is:

4351 BROADWAY
OAKLAND, CA
ZIP 94611-612
Phone: (510) 879-1907
Fax: (510) 879-1999

The provider's authorized official is Jane Garcia .
The authorized official title is Chief Executive Officer and has the following contact phone number (510) 535-4000.

The CLIA number assigned to this NPI record is 05D2131966 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/1/2006 and was last updated on 4/30/2024.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	550000169	CALIFORNIA	Yes
2	261QS1000X	Clinic/Center	Student Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05-1821	OTHER	CALIFORNIA	MEDICARE PART A
2	HAP71125F	OTHER	CALIFORNIA	FPACT
3	FHC71125F	MEDICAID	CALIFORNIA
4	ZZZ2118Z	OTHER	CALIFORNIA	MEDICARE PART B

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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