La Clinica De La Raza is an authorized DME supplier for medicare equipments and products.
La Clinica De La Raza is a Federally Qualified Health Center (FQHC) in Oakland, California. This pharmacy is owned and operated by La Clinica De La Raza Inc. It is located at 3451 E 12th St, Oakland and it's customer support contact number is 510-535-4000. The authorized person of La Clinica De La Raza is Ms. Jane Garcia who is Chief Executive Officer of the pharmacy and her contact number is 510-535-4000. Active license number of La Clinica De La Raza is 140000675 for Federally Qualified Health Center (FQHC) in California. La Clinica De La Raza accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. La Clinica De La Raza is definition to come...
Pharmacy Details:
La Clinica De La Raza type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
La Clinica De La Raza
Type:
Federally Qualified Health Center (FQHC)
Location:
3451 E 12th St, Oakland, California, 94601-3425
Phone:
510-535-4000
Fax:
510-535-4189
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ms. Jane Garcia
Position:
Chief Executive Officer
Contact Number:
510-535-4000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1144336181
NPI Enumeration Date:
22 Aug, 2006
NPI Last Update On:
06 Apr, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for La Clinica De La Raza are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
140000675
California
Primary
Case Manager/care Coordinator
Secondary
Radiology
036347
California
Secondary
Clinical Medical Laboratory
CLIA0500601766
California
Secondary
Clinic Pharmacy
PHY46474
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
FHC71021F
Medicaid
California
LAB01766F
Medicaid
California
Medicare Enrollment:
La Clinica De La Raza is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1557258282
O20040227001016
La Clinica De La Raza Inc
PART B SUPPLIER - CLINIC/GROUP PRACTICE
1557258282
O20070214000424
La Clinica De La Raza Inc
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 22210, Oakland, California
Zip:
94623-2210
Phone Number:
510-535-4000
Fax Number:
510-535-4189
Patients can reach La Clinica De La Raza at 3451 E 12th St, Oakland, California or can call on customer care at 510-535-4000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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