La Clinica De La Raza Inc
Federally Qualified Health Center (FQHC)
3451 E 12th St, Oakland
California, 94601-3425
510-535-4000 510-535-4189
La Clinica De La Raza Inc is a Federally Qualified Health Center (FQHC) in Oakland, California. 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 Inc 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 Inc is 140000675 for Federally Qualified Health Center (FQHC) in California. La Clinica De La Raza Inc 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 Inc is definition to come...
Pharmacy Details:
La Clinica De La Raza Inc 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 Inc |
| 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 Inc 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 Inc 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 Inc at
3451 E 12th St, Oakland, California or can
call on customer care at 510-535-4000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.