La Clinica De La Raza, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Oakley, California. The current practice location for La Clinica De La Raza, Inc. is 2021 Main St, Oakley, California. For appointments, you can reach them via phone at
(925) 776-8200. The mailing address for La Clinica De La Raza, Inc. is Po Box 22210, Oakland, California and phone number is (510) 535-4000.
La Clinica De La Raza, Inc. is licensed to practice in California (license number 550002122). The clinic also participates in the medicare program and its
NPI number is 1578834164. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(925) 776-8200.
Primary Care Clinic Profile
| Full Name | La Clinica De La Raza, Inc. |
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| Speciality | Clinic/Center |
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| Location | 2021 Main St, Oakley, California |
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| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 5105354000 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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La Clinica De La Raza, Inc.
Po Box 22210
Oakland
CA 94623-2210
Ph: (510) 535-4000 | La Clinica De La Raza, Inc.
2021 Main St
Oakley
CA 94561-3302
Ph: (925) 776-8200 |
NPI Details:
| NPI Number | 1578834164 |
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| Provider Enumeration Date | 01/13/2012 |
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| Last Update Date | 10/17/2019 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557258282 |
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| Medicare Enrollment ID | O20120430000505 |
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Medical Identifiers
Medical identifiers for La Clinica De La Raza, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578834164 | NPI | - | NPPES |
| 1578834164 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002122 (California) | Primary |
| 291U00000X | Clinical Medical Laboratory | CLIA05D2036282 (* (Not Available)) | Secondary |
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