LA CLINICA DE LA RAZA INC (NPI# 1013085778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013085778 |
Entity Type | Organization |
Organization Name | LA CLINICA DE LA RAZA INC |
Other Organization Name | TECHNICLINIC |
Practice Address |
4351 Broadway Oakland CA 94611-4612 |
Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
Practice Telephone | 5108791907 |
Practice Fax Number | 5108791999 |
Mailing Telephone | 5105354000 |
Mailing Fax Number | 5105354189 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2019-10-17 |
Authorized Official Name | MS. JANE GARCIA (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5105354000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550000169 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PART A | 05-1821 | 01 |
CA | FHC71125F | 05 | |
CA | MEDICARE PART B | ZZZ2118Z | 01 |
CA | FPACT | HAP71125F | 01 |
Other Name | Type Code |
---|---|
TechniClinic | 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 |
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 |
1235245275 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 1515 Fruitvale Ave, Oakland, CA 94601-2322 | 2006-08-22 |
Street Address |
4351 BROADWAY |
City | OAKLAND |
State | CA |
Zip Code | 94611-4612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700986056 | Katherine Anne Rhodes | Nurse Practitioner | 4351 Broadway, Oakland, CA 94611-4612 | 2006-09-25 |
1326477845 | Oakland Unified School District | Local Education Agency (LEA) | 4351 Broadway, Oakland, CA 94611-4612 | 2013-11-05 |
1063840635 | Lincoln | Community/Behavioral Health | 4351 Broadway, Oakland, CA 94611-4612 | 2013-10-17 |
1841531993 | Alliant International University | Community/Behavioral Health | 4351 Broadway, Oakland, CA 94611-4612 | 2013-03-13 |
1619264389 | Fred Finch Youth Center | Psychologist | 4351 Broadway, Oakland, CA 94611-4612 | 2011-07-01 |
1710274519 | Kamla Fennimore | Social Worker | 4351 Broadway, Oakland, CA 94611-4612 | 2011-06-30 |
1083922157 | Oakland Technical High School | Community/Behavioral Health | 4351 Broadway, Oakland, CA 94611-4612 | 2010-09-22 |
1669523114 | Margaret Bagnall Yardley | Social Worker | 4351 Broadway, Oakland, CA 94611-4612 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
Find all providers in zip 94611 |
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 |
1770902314 | La Clinica De La Raza, Inc. | Clinic/Center | 1450 Fruitvale Ave, 3rd Floor, Oakland, CA 94601-2313 | 2014-04-10 |
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 |
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.