LA CLINICA DE LA RAZA INC NPI 1992811392

NPI Information

NPI: 1992811392
Provider Name: LA CLINICA DE LA RAZA INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: LA CLINICA VALLEJO
CLIA Number: 05D0880562
Address: 243 GEORGIA ST
SUITE B
VALLEJO, CA
ZIP 94590
Phone: (707) 556-8100

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NPI Details

LA CLINICA DE LA RAZA INC is a federally qualified health center (fqhc) clinic center in Vallejo, CA. LA CLINICA DE LA RAZA INC NPI is 1992811392. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica Vallejo.

The provider's business location address is:

243 GEORGIA ST
SUITE B
VALLEJO, CA
ZIP 94590-905
Phone: (707) 556-8100
Fax: (707) 556-8107

The provider's authorized official is Jane Garcia .
The authorized official title is Chief Executive Officer and has the following contact phone number (510) 354-4000.

The CLIA number assigned to this NPI record is 05D0880562 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/17/2019.

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	291U00000X	Clinical Medical Laboratory		05D0880562	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	110000270	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	FHC70543G	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: 11/21/2025

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