LA CLINICA NORTH VALLEJO
NPI 1720243454
Clinic/Center - Federally Qualified Health Center (FQHC) in Vallejo, CA
About La Clinica North Vallejo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA CLINICA NORTH VALLEJO (NPI 1720243454) is a healthcare organization registered as a federally qualified health center (fqhc) in Vallejo, California and active in the NPI registry since July 2008. The organization holds a CLIA Microscopy certificate valid through August 7, 2028 and lists Jane Garcia, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Clinica North Vallejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
186Medicare enrollment records show 186 clinicians reassign Medicare billing to La Clinica North Vallejo, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 186Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 05D1087668
La Clinica North Vallejo · Vallejo, CAFrequently 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 1720243454. It was assigned to this organization in the NPPES registry on July 22, 2008. The provider is doing business as La Clinica North Vallejo.
Where is La Clinica De La Raza, Inc. located?
La Clinica De La Raza, Inc. is located at 220 Hospital Dr, Vallejo, CA 94589. The listed phone number is (707) 641-1900.
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.
Is La Clinica De La Raza, Inc. enrolled in Medicare?
Yes. La Clinica De La Raza, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through La Clinica De La Raza, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 186 clinicians in 21 Medicare specialties reassign their Medicare billing to La Clinica De La Raza, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (46), Family Practice (42) and Pediatric Medicine (21). Of these, 2 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does La Clinica De La Raza, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1087668) is associated with this NPI, valid through August 7, 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 7 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.
# La Clinica North Vallejo · NPI 1720243454
Federally Qualified Health Center (FQHC) organization in Vallejo, California. Organization record, active in the CMS NPPES registry since July 22, 2008.
## Identity
- **NPI:** 1720243454 (Entity type: Organization)
- **Enumerated:** July 22, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** La Clinica De La Raza, Inc.
- **Organization subpart:** No
- **Authorized official:** Jane Garcia, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 220 HOSPITAL DR, Vallejo, CA 94589-2517
- **Phone:** (707) 641-1900 · **Fax:** (707) 554-2294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 186 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (46), Family Practice (42), Pediatric Medicine (21); 2 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1720243454/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2019
- **Other identifiers:** Medicaid 1720243454 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720243454) · Data from the CMS NPPES public registry.