NPIMap

Organization Active NPI

La Clinica de la Raza Transient Village

  • Health Maintenance Organization
  • Oakland, CA
National Provider Identifier
1528356102
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
25801 Issued in CA
Legal business name
LA CLINICA DE LA RAZA TRANSIENT VILLAGE
Practice address
3451 E 12TH St
Oakland, CA 94601-3463
Phone
(510) 535-4000
NPI assigned
Jul 15, 2011
Organization subpart
Yes
Parent organization
LA CLINICA DE LA RAZAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ariane Terlet, DDS
Title
Chief Dental Director
Phone
(510) 535-4713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 25801 CA Primary

Addresses

Primary practice location

3451 E 12TH St
Oakland, CA 94601-3463

Mailing address

3451 E 12TH St
Oakland, CA 94601-3463
Phone (510) 535-4000

National Provider Directory

National Provider Directory
Part of
San Antionio NHC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1528356102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 E 12TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013463",
            "telephone_number": "510-535-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 E 12TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013463",
            "telephone_number": "510-535-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DE LA RAZA TRANSIENT VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA DE LA RAZA",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "TERLET",
        "authorized_official_first_name": "ARIANE",
        "authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
        "authorized_official_telephone_number": "510-535-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "25801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.