La Clinica De La Raza, Inc.
Federally Qualified Health Center (FQHC)
1030 International Blvd, Oakland
California, 94606-3730
510-238-5400 510-238-8015
La Clinica De La Raza, Inc. is a Federally Qualified Health Center (FQHC) in Oakland, California. This organization is also known as sub part of La Clinica De La Raza, Inc.. It is located at 1030 International Blvd, Oakland and it's customer support contact number is 510-238-5400. 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 140000708 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: | 1030 International Blvd, Oakland,
California, 94606-3730 |
| Phone: | 510-238-5400 |
| Fax: | 510-238-8015 |
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: | 1427070374 |
| Parent Organization: | La Clinica De La Raza, Inc. |
| NPI Enumeration Date: | 23 Jul, 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) | 140000708 | California | Primary | |
| Clinical Medical Laboratory | CLIA05D0921215 | California | Secondary | |
| Clinic Pharmacy | DEA5895240 | California | Secondary | |
| Case Manager/care Coordinator | | | 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 |
| FHC11991F | 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 | O20040719000225 | 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: | 510-238-5400 |
| Fax Number: | 510-238-8015 |
Patients can reach La Clinica De La Raza, Inc. at
1030 International Blvd, Oakland, California or can
call on customer care at 510-238-5400.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.