LA CLINICA MONUMENT – NPI #1538181482
Clinic/Center

LA CLINICA MONUMENT is an AHC clinic located in CONCORD, CA. NPPES has assigned the NPI number 1538181482 to LA CLINICA MONUMENT on July 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LA CLINICA MONUMENT” is a dba name, the actual legal business name for this organization is LA CLINICA DE LA RAZA INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 13 years ago on Jan 28, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LA CLINICA MONUMENT below.

NPI Profile for
LA CLINICA DE LA RAZA INC

NPI Number
1538181482
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LA CLINICA DE LA RAZA INC
Doing Business As (dba): LA CLINICA MONUMENT
Primary location
2000 SIERRA ROAD
CONCORD, CA 94518-2905
Phone: (925) 363-2000 Fax: (925) 356-2792
Mailing address
PO BOX 22210
OAKLAND, CA 94623-2210
Phone: (510) 535-4000 Fax: (510) 535-4189
Organization Subpart
No
Authorized Official
JANE GARCIA
CHIEF EXECUTIVE OFFICER
Phone: (510) 535-4000
Updated
Identifiers

Identifiers for LA CLINICA MONUMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFPACTCAHAP71034F
MEDICAIDCAFHC71034F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 140000675
291U00000X
- Clinical Medical Laboratory
CA 05D1018270
261QD0000X
- Clinic/Center / Dental

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.