LA CLINICA DE LA RAZA, INC.
NPI 1730476110
Pharmacy - Clinic Pharmacy in Oakland, CA

Active since July 06, 2011
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606(510) 238-5400(510) 238-8015 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2020, Jan 24, 2019, Apr 12, 2018 (3 updates tracked since 2018).

About La Clinica De La Raza, Inc. NPPES

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

LA CLINICA DE LA RAZA, INC. (NPI 1730476110) is a healthcare organization registered as a clinic pharmacy in Oakland, California and active in the NPI registry since July 2011. The organization lists Susan Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730476110
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameLA CLINICA DE LA RAZA, INC.
Location Address1030 INTERNATIONAL BLVDOakland, CA 94606-3730
Mailing AddressPo Box 22210Oakland, CA 94623-2322 · (510) 535-4000 · Fax (510) 535-4189
Fax(510) 238-8015
Organization SubpartYes
Authorized OfficialSusan MooreCfo · (510) 535-2915
Enumeration DateJuly 6, 2011
Last NPPES UpdateJune 8, 20203 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1730476110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1030 INTERNATIONAL BLVD, Oakland, CA 94606

Other Identifiers 1

Medicaid0500941CA

Accepted Insurance

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 De La Raza, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

186

Medicare enrollment records show 186 clinicians reassign Medicare billing to La Clinica De La Raza, Inc., which bills Medicare for the services they deliver. Of these, 16 practice at this address and 96 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner46
Family Practice42
Pediatric Medicine21
Obstetrics/Gynecology15
Internal Medicine14
Clinical Social Worker13
Registered Dietitian or Nutrition Professional8
Marriage and Family Therapist4
13 other specialties23

Nearest to this location (20)

See all 186
Family Practice
NPI 1568763233
1030 INTERNATIONAL BLVD.
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760744874
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1376643528
1030 INTERNATIONAL BLVD
Oakland, CA 94601
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1881772952
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063756997
1030 INTERNATIONAL BLVD. SAN ANTONIO NEIGHBORHOOD HEALT
Oakland, CA 94606
(510) 238-5400
✔ PECOSSame address
Pediatric Medicine
NPI 1558498469
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOSSame address
Family Practice
NPI 1982283933
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1316699036
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528105707
1030 INTERNATIONAL BLVD.
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245970888
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477729259
1030 INTERNATIONAL BLVD.
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1417439498
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 272-1508
Same address
Family Practice
NPI 1700345808
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1265104053
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1750791364
1030 INTERNATIONAL BLVD
Oakland, CA 94606
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1003916263
1030 INTERNATIONAL BLVD
Oakland, CA 94601
(510) 238-5400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306132386
286 E 10TH ST 1ST FLOOR
Oakland, CA 94606
(510) 879-1568
✔ PECOS0.6 mi
Optometry
NPI 1952032971
3060 E 9TH ST
Oakland, CA 94601
(510) 535-5500
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1437597309
1515 FRUITVALE AVE
Oakland, CA 94601
(510) 535-6300
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1437119591
1515 FRUITVALE AVENUE
Oakland, CA 94601
(510) 535-6300
✔ PECOS✔ Accepts Medicare1.6 mi
See all 186 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1730476110. It was assigned to this organization in the NPPES registry on July 6, 2011.

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

La Clinica De La Raza, Inc. is located at 1030 International Blvd, Oakland, CA 94606. The listed phone number is (510) 238-5400.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

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, 16 practice at this address and 96 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does La Clinica De La Raza, Inc. accept?

Health plans from Sanford Health Plan and SummaCare list La Clinica De La Raza, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Clinica De La Raza, Inc. was last updated on June 8, 2020. 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.