<unavail> in Oakland, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Oakland, California. The current practice location for is 1515 Fruitvale Ave, Oakland, California. For appointments, you can reach them via phone at (510) 535-6300. The mailing address for is Po Box 22210, Oakland, California and phone number is (510) 535-4000.

is licensed to practice in California (license number 550000036). The clinic also participates in the medicare program and its NPI number is 1235245275. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (510) 535-6300.

Contact Information


	1515 Fruitvale Ave Oakland CA 94601-2322
	(510) 535-6300
	(510) 535-4019

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1515 Fruitvale Ave, Oakland, California
Authorized Official Name and Position	Jane Garcia (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	5105354000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000	1515 Fruitvale Ave Oakland CA 94601-2322 Ph: (510) 535-6300

NPI Details:

NPI Number	1235245275
Provider Enumeration Date	08/22/2006
Last Update Date	10/17/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	1557258282
Medicare Enrollment ID	O20070227000423

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235245275	NPI	-	NPPES
FHC71087F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	550000036 (California)	Primary
291U00000X	Clinical Medical Laboratory	CLIA0500921212 (California)	Secondary

Reviews and Comments

Clinic/Center in Oakland, CA

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Treble Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 43rd St Unit 106, Oakland, CA 94609 Phone: 800-865-3142
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143

- Medicare Primary Care in Oakland, CA