LA CLINICA NORTH VALLEJO
NPI 1962739946
Clinic/Center - Federally Qualified Health Center (FQHC) in Vallejo, CA

Active since November 11, 2009
220 HOSPITAL DRIVE, VALLEJO, CA 94589(707) 641-1900(707) 554-2294 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 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 1962739946) is a healthcare organization registered as a federally qualified health center (fqhc) in Vallejo, California and active in the NPI registry since November 2009. The organization lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1962739946
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DE LA RAZA, INC.
Location Address220 HOSPITAL DRIVEVallejo, CA 94589-2517
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Fax(707) 554-2294
Organization SubpartYes
Authorized OfficialJane GarciaChief Executive Officer · (510) 535-4000
Enumeration DateNovember 11, 2009
Last NPPES UpdateDecember 7, 2009
✔ NPI 1962739946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 550000903
220 HOSPITAL DRIVE, Vallejo, CA 94589

Other Names 1

Doing Business AsLa Clinica North Vallejo

Other Identifiers 1

Medicare PINCJ444ACA

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

186

Medicare 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

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
Nurse Practitioner
NPI 1225975964
220 HOSPITAL DR
Vallejo, CA 94589
(707) 641-1900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124587225
210 HOSPITAL DR
Vallejo, CA 94589
(707) 645-7316
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1902555360
975 SERENO DR
Vallejo, CA 94589
(707) 651-4071
✔ PECOS✔ Accepts Medicare0.6 mi
Rheumatology
NPI 1225220114
975 SERENO DR
Vallejo, CA 94589
(707) 651-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1700964517
975 SERENO DR
Vallejo, CA 94589
(707) 651-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1073085601
975 SERENO DR
Vallejo, CA 94589
(707) 651-4801
✔ PECOS✔ Accepts Medicare0.6 mi
Nephrology
NPI 1558449454
975 SERENO DR
Vallejo, CA 94589
(707) 651-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Osteopathic Manipulative Medicine
NPI 1205326436
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-6100
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1326421108
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.3 mi
Pediatric Medicine
NPI 1992883714
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1467911685
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS2.3 mi
Family Practice
NPI 1386374700
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS2.3 mi
Family Practice
NPI 1154948925
415 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1013157353
243 GEORGIA STREET SUITE B
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1407890320
243 GEORGIA ST SUITE B
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1215021175
243 GEORGIA STREET STE B
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1548784374
243 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1912216763
243 GEORGIA ST
Vallejo, CA 94590
(707) 556-8100
✔ PECOS✔ Accepts Medicare2.4 mi
Pediatric Medicine
NPI 1740616713
1301 PINOLE VALLEY RD
Pinole, CA 94564
(510) 243-4200
✔ PECOS9.5 mi
Clinical Social Worker
NPI 1356690259
806 SAN PABLO AVE STE 1
Pinole, CA 94564
(510) 981-4100
✔ PECOS9.5 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 1962739946. It was assigned to this organization in the NPPES registry on November 11, 2009. 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 Drive, 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.

When was this NPI record last updated?

The NPPES record for La Clinica De La Raza, Inc. was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.