CLINICA ALTA VISTA
NPI 1235245275
Clinic/Center - Federally Qualified Health Center (FQHC) in Oakland, CA

Q: What is La Clinica De La Raza Inc's NPI number?

The NPI number for La Clinica De La Raza Inc is 1235245275. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Clinica Alta Vista.

Q: What is La Clinica De La Raza Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since August 22, 2006CLIA 05D0921212 · Microscopy

1515 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-6300(510) 535-4019 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clinica Alta Vista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA ALTA VISTA (NPI 1235245275) is a healthcare organization registered as a federally qualified health center (fqhc) in Oakland, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through October 21, 2026 and lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1235245275

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DE LA RAZA INC

Location Address1515 FRUITVALE AVEOakland, CA 94601-2322

Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189

Phone(510) 535-6300

Fax(510) 535-4019

Organization SubpartNo

Authorized OfficialJane GarciaChief Executive Officer · (510) 535-4000

Enumeration DateAugust 22, 2006

Last NPPES UpdateOctober 17, 2019

✔ NPI 1235245275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in CA · 550000036

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License CLIA0500921212 (CA)

1515 FRUITVALE AVE, Oakland, CA 94601

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Other Names 1

Doing Business AsClinica Alta Vista

Other Identifiers 1

MedicaidFHC71087FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0921212

Clinica Alta Vista · Oakland, CA

Active · expires Oct 21, 2026

CLIA Number05D0921212

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorAriel Franks

Laboratory Phone(510) 535-6300

Laboratory LocationClinica Alta Vista1515 Fruitvale Ave, Oakland, CA 94601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASANO FLOY FERTIG MD

Family Medicine