LA CLINICA DE LA RAZA INC
NPI 1780606632
Clinic/Center - Dental in Vallejo, CA

NPI Status: Active since July 23, 2006

Contact Information

2920A SONOMA BLVD
VALLEJO, CA
ZIP 94590
Phone: (707) 558-2000
Fax: (707) 644-3507

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 05D0601766
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 12-22-2025

About LA CLINICA DE LA RAZA INC

This page provides the complete NPI Profile along with additional information for La Clinica De La Raza Inc, a provider established in Vallejo, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1780606632 assigned on July 2006. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Ms. Jane Garcia (Chief Executive Officer)

NPI
1780606632
Provider Legal Name
LA CLINICA DE LA RAZA INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2920A SONOMA BLVD VALLEJO, CA 94590
Location Phone
(707) 558-2000
Location Fax
(707) 644-3507
Mailing Address
1515 FRUITVALE AVE OAKLAND, CA 94601
Mailing Phone
(510) 535-4000
Mailing Fax
(707) 644-3507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

(CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JANE GARCIA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(510) 535-4000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC70833FMEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0601766
Facility Type
Federally Qualified Health Center
Certificate Effective Date
December 23, 2023
Certificate Expiration Date
December 22, 2025
Laboratory Director
DR. SHARON OHARA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to La Clinica De La Raza Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780606632, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 2 + 0 + 1 + 2 + 6 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1780606632.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780606632, enumerated as an "organization" on July 23, 2006.

The provider is located at 2920A SONOMA BLVD VALLEJO, CA 94590 and the phone number is (707) 558-2000.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.