La Clinica De La Raza Inc in Oakland - Federally Qualified Health Center (fqhc)
La Clinica De La Raza Inc - NPI 1619056926
La Clinica De La Raza Inc is a Federally Qualified Health Center (fqhc) in Oakland, California. La Clinica De La Raza Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Clinica De La Raza Inc is 1619056926. The last update date is 2019-10-17.
La Clinica De La Raza Inc's current location address is 4610 Foothill Blvd, Oakland, California. You can contact this provider via phone number 5108791600 and fax number 5108798849. The mailing address for La Clinica De La Raza Inc is 4610 Foothill Blvd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De La Raza Inc |
|---|---|
| Address | 4610 Foothill Blvd, Oakland, California |
| Phone Number | 5108791600 |
| Fax Number | 5108798849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Garcia Jane |
| Telephone Number | 5105354000 |
NPI Number Detail
| NPI Number | 1619056926 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 4610 Foothill Blvd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946014618 |
| Phone Number | 5108791600 |
| Fax Number | 5108798849 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 550000190 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC71137F | CA | -- | |
| 05-1821 | CA | MEDICARE PART A | |
| HAP71137F | CA | FPACT | |
| ZZZ2118Z | CA | MEDICARE PART B |
Post Comment/ Review Below
What is the unique provider identifier assigned to La Clinica De La Raza Inc?
The La Clinica De La Raza Inc has been issued the NPI (National Provider Identifier) 1619056926 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where La Clinica De La Raza Inc is located?
The La Clinica De La Raza Inc is situated at the following address: 4610 Foothill Blvd, Oakland, CA, 946014618.
What is La Clinica De La Raza Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The La Clinica De La Raza Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619056926 to La Clinica De La Raza Inc?
The Centers for Medicare & Medicaid Services originally issued the 1619056926 to La Clinica De La Raza Inc on 2006-11-06.
When was the information regarding La Clinica De La Raza Inc most recently updated?
The details pertaining to the La Clinica De La Raza Inc, including its address, specialty, and other relevant information, were last refreshed on 2019-10-17.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY