La Clinica De La Raza, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Oakley, CA. Organization (NPI-2).
NPI number1982118675
StatusActive
Last updated in NPPESNov 17, 2017
Details
- NPI
- 1982118675
- Entity type
- Organization (NPI-2)
- Legal business name
- La Clinica De La Raza, INC.
- Organization subpart
- Yes
- Enumeration date
- Nov 17, 2017
- Last updated
- Nov 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- La Clinica Oakley Behavioral Health (Doing Business As)
Practice location
2005c Main StOakley, CA 94561-3301
Phone 925-776-8223
Mailing address
Po Box 22210Oakland, CA 94623-2210
Phone 510-535-4000 · Fax 510-535-4189
Authorized official
Jane Garcia
Ceo
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 Oakley, CA
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.