Casa Del Sol
LBN: La Clinica De La Raza Inc
Casa Del Sol is an health care organization with primary practice located at 1501 Fruitvale Ave , Oakland CA 94601-2322. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
La Clinica De La Raza Inc can be contacted via phone (510) 535-6200, or through Garcia, Jane via phone (510) 535-4000.
Contact Information
Primary practice address
1501 Fruitvale Ave
Oakland CA 94601-2322
Phone: (510) 535-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 140000171 | California |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 140000171 | California |
Profile Details
| NPI number | 1174639116 |
|---|---|
| LBN Legal business name | La Clinica De La Raza Inc |
| DBA Doing business as | Casa Del Sol |
| Authorized official | Garcia, Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Apr 21st, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174639116 | NPPES |
| California | Other | ZZZ29799Z | MEDICARE PART B |
| California | Other | 05-1063 | MEDICARE PART B |
| California | MEDICAID | FHC80040F | MEDICARE PART B |
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