LA CLINICA DE LA RAZA, INC. (NPI# 1316188543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316188543 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA, INC. |
| Other Organization Name | SAN LORENZO HIGH HEALTH CENTER |
| Practice Address |
50 E Lewelling Blvd San Lorenzo CA 94580-1732 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 5103173167 |
| Practice Fax Number | 5105354189 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2009-03-18 |
| 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) |
550001118 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CHDP | 1316188543 | 01 |
| CA | FPACT | 1316188543 | 01 |
| CA | 1316188543 | 05 |
| Other Name | Type Code |
|---|---|
| San Lorenzo High Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118675 | La Clinica De La Raza, Inc. | Clinic/Center | 2005c Main St, Oakley, CA 94561-3301 | 2017-11-17 |
| 1669773008 | La Clinica De La Raza, Inc. | Clinic/Center | 3709 E 12th St, Oakland, CA 94601-4001 | 2010-11-16 |
| 1629379896 | La Clinica De La Raza, Inc. | Clinic/Center | 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 | 2010-11-04 |
| 1851522015 | La Clinica De La Raza, Inc. | Clinic/Center | 1926 - 19th Avenue, Oakland, CA 94606-4126 | 2009-08-05 |
| 1184194482 | La Clinica De La Raza, Inc. | Pharmacy | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-11-29 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1770902314 | La Clinica De La Raza, Inc. | Clinic/Center | 1450 Fruitvale Ave, 3rd Floor, Oakland, CA 94601-2313 | 2014-04-10 |
| 1023445780 | La Clinica De La Raza, Inc. | Clinic/Center | 1700 28th Ave, Oakland, CA 94601-2455 | 2013-09-26 |
| 1245671726 | La Clinica De La Raza, Inc. | Clinic/Center | 1390 66th Ave, Oakland, CA 94621-3506 | 2013-07-11 |
| 1578834164 | La Clinica De La Raza, Inc. | Clinical Medical Laboratory | 2021 Main St, Oakley, CA 94561-3302 | 2012-01-13 |
| 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 |
50 E LEWELLING BLVD |
| City | SAN LORENZO |
| State | CA |
| Zip Code | 94580-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245470772 | Harjindar K Lally | Social Worker | 50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 | 2009-02-24 |
| 1598287294 | Alison Williams | Counselor | 50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 | 2017-07-13 |
| 1851688444 | Nadia Arce-fernandez | Social Worker | 50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226047 | Sunrise Care Home LLC | Clinic/Center | 1447 Via Lucas, San Lorenzo, CA 94580 | 2018-12-07 |
| 1700370459 | Andrea Gisela Sanchez - Altamirano | Behavioral Analyst | 16215 Via Arriba Apt 205, San Lorenzo, CA 94580 | 2018-06-17 |
| 1700326030 | Cozy Physical Therapy | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-06 |
| 1912255605 | Brandi S Gates | Lactation Consultant, Non-RN | 1474 Via Coralla, San Lorenzo, CA 94580 | 2012-08-28 |
| 1255525572 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16829 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-29 |
| 1194917187 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16837 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-14 |
| 1629136080 | Winston F Yee | Dentist | 17760 Hesperian Blvd, San Lorenzo, CA 94580 | 2006-12-05 |
| 1871686568 | Linh P Nguyen | Chiropractor | 15817 Channel Street, San Lorenzo, CA 94580 | 2006-10-02 |
| 1821024902 | John Peter Derdivanis | Dentist | 15600 Washington Ave.ste.e, San Lorenzo, CA 94580 | 2006-06-23 |
| 1588104608 | Cozy Physical Therapy Professional Corporation | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-08 |
| Find all providers in zip 94580 | ||||
| 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 |
|---|---|---|---|---|
| 1124222682 | Neomed Center, Inc | Clinic/Center | 11 Calle Condado, San Lorenzo, PR 00754-4214 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN LORENZO |
| Zip Code | 94580 |
Please comment or provide details below to improve the information on LA CLINICA DE LA RAZA, INC..
| 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.