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LA CLINICA VALLEJO
NPI 1992811392
Clinic/Center - Federally Qualified Health Center (FQHC) in Vallejo, CA

Active since August 21, 2006CLIA 05D0880562 · Microscopy
243 GEORGIA ST, SUITE B, VALLEJO, CA 94590(707) 556-8100(707) 556-8107 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Clinica Vallejo NPPES

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

LA CLINICA VALLEJO (NPI 1992811392) is a healthcare organization registered as a federally qualified health center (fqhc) in Vallejo, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through December 15, 2027 and lists Jane Garcia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1992811392
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DE LA RAZA INC
Location Address243 GEORGIA ST, SUITE BVallejo, CA 94590-5905
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Phone(707) 556-8100
Fax(707) 556-8107
Organization SubpartNo
Authorized OfficialJane GarciaChief Executive Officer · (510) 354-4000
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 17, 2019
✔ NPI 1992811392 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 05D0880562 (CA)
243 GEORGIA ST, Vallejo, CA 94590
Open in Google Maps ↗

Other Names 1

Doing Business AsLa Clinica Vallejo

Other Identifiers 1

MedicaidFHC70543GCA

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) 05D0880562

La Clinica Vallejo Medical · Vallejo, CA
Active · expires Dec 15, 2027
CLIA Number05D0880562
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorDr. Zoe Cappe
Laboratory Phone(707) 556-8100
Laboratory LocationLa Clinica Vallejo Medical415 Georgia St, Vallejo, CA 94590
CLIA data matches this NPI record on: 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 9

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

LAURA SALCIDO
Nurse Practitioner (Family)
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 556-8100
MS. LUZ MARIA HERNANDEZ FNP
Nurse Practitioner (Family)
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 556-8100
DR. PETER NAVOLANIC II M.D.
Family Medicine (Adult Medicine)
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 556-8100
DR. JAMES ERNEST LESSENGER MD
Family Medicine
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 556-8100
MISS VICTORIA ELIZABETH OWENS RN, MSN, FNP
Nurse Practitioner (Family)
243 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
LINDSEY STRANDBERG FNP
Nurse Practitioner (Family)
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 641-1900
MRS. GALADRIEL ANN BONNEL RN, MSN, FNP
Nurse Practitioner (Family)
243 GEORGIA ST, SUITE B
VALLEJO, CA 94590
Solano County (707) 556-8100
JENNIFER KALIKA STANGER MD
Family Medicine
243 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100

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 1992811392. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as La Clinica Vallejo.

Where is La Clinica De La Raza Inc located?

La Clinica De La Raza Inc is located at 243 Georgia St Suite B, Vallejo, CA 94590. The listed phone number is (707) 556-8100.

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 05D0880562) is associated with this NPI, valid through December 15, 2027. 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 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.