Organization · Type 2 NPI

La Clinica de la Raza, Inc.

Federally Qualified Health Center (FQHC) · Oakland, CA

NPI number 1174639116 Active

Practice location

1501 Fruitvale Ave
Oakland, CA 94601-2322

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X140000171 (CA)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X140000171 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1174639116

La Clinica de la Raza, Inc.'s National Provider Identifier is 1174639116, issued on Aug 22, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Oakland, CA. The record was last updated on Feb 19, 2026.