LA CLINICA DE LA RAZA INC NPI 1174639116

NPI Information

NPI: 1174639116
Provider Name: LA CLINICA DE LA RAZA INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: CASA DEL SOL
Address: 1501 FRUITVALE AVE
OAKLAND, CA
ZIP 94601
Phone: (510) 535-6200

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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 1174639116. The provider is registered as an organization entity type.
The provider Is Doing Business As Casa Del Sol.

The provider's business location address is:

1501 FRUITVALE AVE
OAKLAND, CA
ZIP 94601-322
Phone: (510) 535-6200

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 enumeration date for this NPI number is 8/22/2006 and was last updated on 4/21/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	140000171	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	140000171	CALIFORNIA	Yes

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	ZZZ29799Z	OTHER	CALIFORNIA	MEDICARE PART B
2	05-1063	OTHER	CALIFORNIA	MEDICARE PART A
3	FHC80040F	MEDICAID	CALIFORNIA

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: 3/30/2025

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