LA CLINICA DE LA RAZA (NPI# 1275073959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275073959 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA |
| Other Organization Name | CASA DEL SOL |
| Practice Address |
1501 Fruitvale Ave Oakland CA 94601-2322 |
| Practice Telephone | 5105356200 |
| Practice Fax Number | 5105354167 |
| Mailing Telephone | 5105356200 |
| Mailing Fax Number | 5105354167 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | MISS CHELA SHANTI RICHHEIMER (BEHAVIORAL CLINICIAN 1) |
| Authorized Official Telephone | 5105356200 |
| Authorized Official Credential | MFTI |
| Is Organization Subpart | Y |
| Parent Organization Name | LA CLINICA DE LA RAZA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| CASA DEL SOL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194185470 | La Clinica De La Raza | Nurse Practitioner | 2000 Sierra Rd, Concord, CA 94518-2905 | 2016-03-01 |
| 1831569680 | La Clinica De La Raza | Clinic/Center | 3451 E 12th St, Oakland, CA 94601-3463 | 2015-10-05 |
| 1235515511 | La Clinica De La Raza | Clinic/Center | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2015-08-10 |
| 1851788004 | La Clinica De La Raza | Dental Hygienist | 3451 E 12th St, Oakland, CA 94601-3463 | 2015-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA CLINICA DE LA RAZA, INC. | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Street Address |
1501 FRUITVALE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417208 | William James Kearney | Specialist | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2005-12-13 |
| 1932719192 | Adin Vaewsorn | Registered Nurse | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2020-08-03 |
| 1083257455 | Luz A Islas Rosales | Marriage & Family Therapist | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-10-18 |
| 1235787508 | Melissa Aguiar | Counselor | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-08-29 |
| 1093362113 | Oscar Contreras | Social Worker | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-08-22 |
| 1508413972 | Cecilia Villalobos | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-08-21 |
| 1538715347 | Cindy Hernandez | Counselor | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-08-16 |
| 1518512912 | Arturo Alejandro Aguayo | Counselor | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-08-03 |
| 1629530118 | Lorena Sofia Plaza | Marriage & Family Therapist | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2019-04-03 |
| 1811470164 | Luis Angel Alvarez | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2018-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107056 | Caliber Autism Care LLC | Community/Behavioral Health | 2604 Invitational Dr, Oakland, MI 48363-2455 | 2020-02-25 |
| 1346894532 | Stars, Inc. | Community/Behavioral Health | 8000 Birch St, Oakland, CA 94621-2313 | 2019-07-26 |
| 1659923191 | Stars, Inc. | Community/Behavioral Health | 915 Foothill Blvd., Oakland, CA 94606-3013 | 2019-07-15 |
| 1285195537 | Diversity In Health Training Institute | Community/Behavioral Health | 310 8th St Ste 303, Oakland, CA 94607-4253 | 2019-03-28 |
| 1700362159 | Options Recovery Services | Community/Behavioral Health | 1630 10th St, Oakland, CA 94607-1426 | 2018-07-18 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1821501446 | Options Recovery Services | Community/Behavioral Health | 1020 59th St, Oakland, CA 94608-2302 | 2017-11-06 |
| 1649783267 | Options Recovery Services | Community/Behavioral Health | 1053 59th St, Oakland, CA 94608-2362 | 2017-11-06 |
| 1093228611 | Options Recovery Services | Community/Behavioral Health | 5121 West St, Oakland, CA 94608-3253 | 2017-11-06 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on LA CLINICA DE LA RAZA.
| 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.