OrganizationActive
La Clinica De La Raza, Inc.
NPI 1730476110 · Clinic Pharmacy · Oakland, CA
Provider details
- NPI number
- 1730476110
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Parent organization
- La Clinica De La Raza, Inc.
- Organization subpart
- Yes
- Authorized official
- Susan Moore, Cfo(510) 535-2915
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1030 International Blvd
Oakland, CA 94606-3730
Phone: (510) 238-5400
Fax: (510) 238-8015
Street-level locationGet directions
Mailing address
Po Box 22210
Oakland, CA 94623-2322
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2020-06-08
- Certified
- 2020-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.