LA CLINICA DE LA RAZA INC (NPI# 1619056926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619056926 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE LA RAZA INC |
| Other Organization Name | TIGER HEALTH CLINIC |
| Practice Address |
4610 Foothill Blvd Oakland CA 94601-4618 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 5108791600 |
| Practice Fax Number | 5108798849 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2006-11-06 |
| 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) |
550000190 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FPACT | HAP71137F | 01 |
| CA | MEDICARE PART A | 05-1821 | 01 |
| CA | FHC71137F | 05 | |
| CA | MEDICARE PART B | ZZZ2118Z | 01 |
| Other Name | Type Code |
|---|---|
| Tiger Health Clinic | 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 |
| 1013085778 | La Clinica De La Raza Inc | Clinic/Center | 4351 Broadway, Oakland, CA 94611-4612 | 2006-12-01 |
| 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 |
4610 FOOTHILL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649373952 | Wendolyn Matarrese | Physician Assistant | 4610 Foothill Blvd, Oakland, CA 94601 | 2006-09-06 |
| 1689219420 | Kathryn Wood | Social Worker | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2019-11-15 |
| 1023526589 | The Alliance for Community Wellness | Community/Behavioral Health | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2018-01-18 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1144659202 | Oakland Unified School District | Local Education Agency (LEA) | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2013-11-08 |
| 1154755106 | Lincoln | Community/Behavioral Health | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2013-08-27 |
| 1376894519 | Fremont High School | Community/Behavioral Health | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2012-09-27 |
| 1154514065 | Katie Lois Elmore-paul | Social Worker | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2007-08-23 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 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.