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LA CLINICA NORTH VALLEJO
NPI 1720243454
Clinic/Center - Federally Qualified Health Center (FQHC) in Vallejo, CA

Active since July 22, 2008CLIA 05D1087668 · Microscopy
220 HOSPITAL DR, VALLEJO, CA 94589(707) 641-1900(707) 554-2294 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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, 2026 and lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1720243454
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DE LA RAZA, INC.
Location Address220 HOSPITAL DRVallejo, CA 94589-2517
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Phone(707) 641-1900
Fax(707) 554-2294
Organization SubpartNo
Authorized OfficialJane GarciaChief Executive Officer · (510) 535-2915
Enumeration DateJuly 22, 2008
Last NPPES UpdateOctober 17, 2019
✔ NPI 1720243454 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 · 110000270
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 05D1087668 (CA)
220 HOSPITAL DR, Vallejo, CA 94589
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Other Names 1

Doing Business AsLa Clinica North Vallejo

Other Identifiers 1

Medicaid1720243454CA

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, CA
Active · expires Aug 7, 2026
CLIA Number05D1087668
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorZoe Cappe
Laboratory Phone(707) 641-1900
Laboratory LocationLa Clinica North Vallejo220 Hospital Dr, Vallejo, CA 94589
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 10

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

MISS LIZETTE MENDOZA RD
Dietitian, Registered
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 551-1806
NOELLE KARINA EMANUEL NP-BC
Nurse Practitioner (Community Health)
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900
LA CLINICA DE LA RAZA
Clinic/Center
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (510) 535-2958
GIDEON HENRY LEBOWITZ PA-C
Physician Assistant (Medical)
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900
HEATHER WRIGHT PA-C
Physician Assistant
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900
AIDE IRENE PAREDES-SALCEDA PAC
Physician Assistant
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900
DR. HAKEEM O. ADENIYI JR. M.D.
Family Medicine
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900
ANDRES RIOS GALLARDO
Counselor (Mental Health)
220 HOSPITAL DR
VALLEJO, CA 94589
Napa County (707) 641-1900

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 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.

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, 2026. 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 with the weekly NPPES data releases published by CMS.