Organization
LA CLINICA DE LA RAZA, INC.
Active
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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