LA CLINICA DE LA RAZA INC


Address: 4351 Broadway, Oakland, CA 94611-4612
Phone: 5108791907

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
TechniClinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4351 BROADWAY
City OAKLAND
State CA
Zip Code 94611-4612

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City OAKLAND
Zip Code 94611

Improve Information

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Dataset Information

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.

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