Organization
LA CLINICA DE LA RAZA, INC.
Active
Other names
Casa Del Sol
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE GARCIA (CHIEF EXECUTIVE OFFICER)
(510) 535-4000
Entity
Organization
Contact information
Practice address
1501 FRUITVALE AVE, OAKLAND, CA 94601-2322
(510) 535-6200
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000171
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
140000171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1063
MEDICARE PART A
CA
05
—
FHC80040F
—
CA
01
—
ZZZ29799Z
MEDICARE PART B
CA
Enumeration date
08/22/2006
Last updated
02/19/2026
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