| Techniclinic | |
|
4351 Broadway Oakland CA 94611-4612 | |
| (510) 879-1907 | |
| (510) 879-1999 |
| Full Name | Techniclinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4351 Broadway, Oakland, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Techniclinic Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | Techniclinic 4351 Broadway Oakland CA 94611-4612 Ph: (510) 879-1907 |
| NPI Number | 1013085778 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013085778 | NPI | - | NPPES |
| 05-1821 | Other | CA | MEDICARE PART A |
| HAP71125F | Other | CA | FPACT |
| FHC71125F | Medicaid | CA | |
| ZZZ2118Z | Other | CA | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000169 (California) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
Frank Kiang Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 E 18th St Fl 2, Oakland, CA 94606 Phone: 510-986-6860 Fax: 510-986-6890 | |
Roosevelt School-based Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 E 19th St, Oakland, CA 94606 Phone: 510-535-4000 | |
Oakland Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 28th St, Oakland, CA 94609 Phone: 510-452-4824 Fax: 510-465-4503 | |
Clinica La Luna Y El Sol Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4333 Piedmont Ave, Oakland, CA 94611 Phone: 510-594-7400 Fax: 510-594-7402 | |
Treble Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 43rd St Unit 106, Oakland, CA 94609 Phone: 800-865-3142 | |
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143 |