HAVENSCOURT HEALTH CENTER
NPI 1245671726
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 1245671726. It was assigned to this organization in the NPPES registry on July 11, 2013. The provider is doing business as Havenscourt Health Center.

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 July 11, 2013CLIA 05D2037427 · Microscopy

1390 66TH AVE, OAKLAND, CA 94621(510) 639-1981(510) 632-8225 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Havenscourt Health Center NPPES

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

HAVENSCOURT HEALTH CENTER (NPI 1245671726) is a healthcare organization registered as a federally qualified health center (fqhc) in Oakland, California and active in the NPI registry since July 2013. The organization holds a CLIA Microscopy certificate valid through February 26, 2028 and lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1245671726

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DE LA RAZA, INC.

Location Address1390 66TH AVEOakland, CA 94621-3506

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

Phone(510) 639-1981

Fax(510) 632-8225

Organization SubpartNo

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

Enumeration DateJuly 11, 2013

Last NPPES UpdateOctober 17, 2019

✔ NPI 1245671726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code261QF0400X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X

1390 66TH AVE, Oakland, CA 94621

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Other Names 1

Doing Business AsHavenscourt Health Center

Other Identifiers 1

Medicaid1245671726CA

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) 05D2037427

Havenscourt Health Center · Oakland, CA

Active · expires Feb 26, 2028

CLIA Number05D2037427

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 27, 2026

Certificate Expiration DateFebruary 26, 2028

Laboratory DirectorCathy Chin

Laboratory Phone(510) 639-1981

Laboratory LocationHavenscourt Health Center1390 66th Avenue, Oakland, CA 94621

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 9

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

AMBER NUTTER

Social Worker (Clinical)