San Antonio Neighborhood Health Center is an authorized DME supplier for medicare equipments and products.
San Antonio Neighborhood Health Center is a Federally Qualified Health Center (FQHC) in Oakland, California. This pharmacy is owned and operated by La Clinica De La Raza, Inc.. 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 San Antonio Neighborhood Health Center is Ms. Jane Garcia who is Chief Executive Officer of the pharmacy and her contact number is 510-535-4000. Active license number of San Antonio Neighborhood Health Center is 140000708 for Federally Qualified Health Center (FQHC) in California. San Antonio Neighborhood Health Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. San Antonio Neighborhood Health Center is definition to come...
Pharmacy Details:
San Antonio Neighborhood Health Center 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:
San Antonio Neighborhood Health Center
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 San Antonio Neighborhood Health Center are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
140000708
California
Primary
Case Manager/care Coordinator
Secondary
Clinical Medical Laboratory
CLIA05D0921215
California
Secondary
Clinic Pharmacy
DEA5895240
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
FHC11991F
Medicaid
California
Medicare Enrollment:
San Antonio Neighborhood Health Center 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 San Antonio Neighborhood Health Center at 1030 International Blvd, Oakland, California or can call on customer care at 510-238-5400.
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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