La Clinica De La Raza, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Oakland, CA. Organization (NPI-2).
NPI number1851522015
StatusActive
Last updated in NPPESOct 17, 2019
Details
- NPI
- 1851522015
- Entity type
- Organization (NPI-2)
- Legal business name
- La Clinica De La Raza, INC.
- Organization subpart
- No
- Enumeration date
- Aug 5, 2009
- Last updated
- Oct 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 550000036 | CA | Yes |
| 261QS1000X | Clinic/Center, Student Health | – | – |
Other names
- Roosevelt Health Center (Doing Business As)
Practice location
1926 - 19th AvenueOakland, CA 94606-4126
Phone 510-879-2953 · Fax 510-879-2956
Mailing address
Po Box 22210Oakland, CA 94623-2210
Phone 510-535-4000 · Fax 510-535-4189
Authorized official
Jane Garcia
Chief Executive Officer
5105354000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Oakland, CA
- Alameda Health SystemNPI 1104959089
- Alameda Health SystemNPI 1548551997
- Alameda Health SystemNPI 1750582557
- Alameda Health SystemNPI 1841491644
- Alameda Health SystemNPI 1932300738
- Asian Health ServicesNPI 1003134545
- Asian Health ServicesNPI 1073827242
- Asian Health ServicesNPI 1144813320
- Asian Health ServicesNPI 1154462422
- Asian Health ServicesNPI 1225179641
All 54 Federally Qualified Health Center (FQHC) providers in Oakland · All 20,942 providers in Oakland
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.