1. Home
  2. Directory
  3. California
  4. Oakley
  5. Clinic Center
  6. NPI Profile

LA CLINICA OAKLEY
NPI 1578834164
Clinic/Center - Federally Qualified Health Center (FQHC) in Oakley, CA

Active since January 13, 2012CLIA 05D2036282 · Microscopy
2021 MAIN ST, OAKLEY, CA 94561(925) 776-8200(925) 776-8260 Get Directions Write a Review

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

About La Clinica Oakley NPPES

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

LA CLINICA OAKLEY (NPI 1578834164) is a healthcare organization registered as a federally qualified health center (fqhc) in Oakley, California and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through February 5, 2028 and lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1578834164
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DE LA RAZA, INC.
Location Address2021 MAIN STOakley, CA 94561-3302
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Phone(925) 776-8200
Fax(925) 776-8260
Organization SubpartNo
Authorized OfficialJane GarciaChief Executive Officer · (510) 535-4000
Enumeration DateJanuary 13, 2012
Last NPPES UpdateOctober 17, 2019
✔ NPI 1578834164 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 · 550002122
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License CLIA05D2036282
2021 MAIN ST, Oakley, CA 94561
Open in Google Maps ↗

Other Names 1

Doing Business AsLa Clinica Oakley

Other Identifiers 1

Medicaid1578834164CA

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) 05D2036282

La Clinica Oakley · Oakley, CA
Active · expires Feb 5, 2028
CLIA Number05D2036282
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorEdward H. Kim
Laboratory Phone(925) 776-8215
Laboratory LocationLa Clinica Oakley2021 Main St, Oakley, CA 94561
CLIA data matches this NPI record on: Address Name
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 14

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

SHUINN CHANG NP
Nurse Practitioner
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
JOSEPHINE MUMBI GITHUA NP
Family Medicine
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
KALYNN YASTRO F.N.P.
Nurse Practitioner (Family)
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
YUE FENG
Family Medicine
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
DR. EDWARD HYOUNWOO KIM MD
Family Medicine
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
SARAH ELIZABETH BROOME PA
Physician Assistant
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200
MICHELLE MARIE MONTOYA AMFT
Marriage & Family Therapist
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8223
MRS. SIOMARA DE ANDA MAR MFTI
Marriage & Family Therapist
2021 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 776-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica De La Raza, Inc.'s NPI number?

The NPI number for La Clinica De La Raza, Inc. is 1578834164. It was assigned to this organization in the NPPES registry on January 13, 2012. The provider is doing business as La Clinica Oakley.

Where is La Clinica De La Raza, Inc. located?

La Clinica De La Raza, Inc. is located at 2021 Main St, Oakley, CA 94561. The listed phone number is (925) 776-8200.

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.

Does La Clinica De La Raza, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2036282) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Clinica De La Raza, Inc. was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.