San Antonio Neighborhood Health Center

LBN: La Clinica De La Raza, Inc.
San Antonio Neighborhood Health Center is an health care organization with primary practice located at 1030 International Blvd , Oakland CA 94606-3730. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Laboratories / Clinical Medical Laboratory, Suppliers / Clinic Pharmacy. 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) 238-5400, or through Garcia, Jane via phone (510) 535-4000.

Contact Information

Primary practice address
1030 International Blvd Oakland CA 94606-3730
Phone: (510) 238-5400
Fax: (510) 238-8015
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Jane
Phone: (510) 535-4000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 140000708 California
Laboratories / Clinical Medical Laboratory 291U00000X CLIA05D0921215 California
Suppliers / Clinic Pharmacy 3336C0002X DEA5895240 California

Profile Details

NPI number 1427070374
LBN Legal business name La Clinica De La Raza, Inc.
DBA Doing business as San Antonio Neighborhood Health Center
Authorized official Garcia, Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Apr 6th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427070374 NPPES
California MEDICAID FHC11991F

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