CALIFORNIA STATE POLYTECHNIC UNIVERSITY


Address: 3801 W Temple Ave, Pomona, CA 91768-2557
Phone: 9098694000

CALIFORNIA STATE POLYTECHNIC UNIVERSITY (NPI# 1063694479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063694479
Entity Type Organization
Organization Name CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Practice Address 3801 W Temple Ave
Pomona
CA 91768-2557
Practice Telephone 9098694000
Mailing Telephone 9098694000
Enumeration Date 2007-11-28
Last Update Date 2007-11-28
Authorized Official Name KAY VIERRA (INTERIM DIRECTOR)
Authorized Official Telephone 9098692760
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
306630 CA Ambulatory Health Care Facilities

Office Location

Street Address 3801 W TEMPLE AVE
City POMONA
State CA
Zip Code 91768-2557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154358943 Jennifer M Lupo Specialist/Technologist 3801 W Temple Ave, Athletic Department, Pomona, CA 91768-2557 2006-06-27
1396042032 Nancy L Mcallister Nurse Practitioner 3801 W Temple Ave, #46, Pomona, CA 91768-2557 2011-02-15
1033410113 Cal Poly University Clinic/Center 3801 W Temple Ave, #46, Pomona, CA 91768-2557 2010-11-05
1174702807 Dorothy N Davis Nurse Practitioner 3801 W Temple Ave, Pomona, CA 91768-2557 2007-10-30
1013196021 Steven A Destefano Family Medicine 3801 W Temple Ave, 46, Pomona, CA 91768-2557 2007-10-25
1871782037 Leslie A. Tyska Family Medicine 3801 W Temple Ave, Bldg 46, Pomona, CA 91768-2557 2007-10-23
1174712632 Gerald Chapman Hays General Practice 3801 W Temple Ave, Pomona, CA 91768-2557 2007-10-22
1932396512 Student Health Services Clinic/Center 3801 W Temple Ave, Building #46, Pomona, CA 91768-2557 2007-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699385971 Behavioral Health Services, Inc. Substance Abuse Rehabilitation Facility 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 2020-08-03
1427690338 Sharon Beatrice Moreno Counselor 2180 Valley Bvld, Pomona, CA 91768 2019-10-11
1710492087 Freddie Lee Dominguez Counselor 2180 W Vally Blvd, Pomona, CA 91768 2017-12-08
1205350295 Angie Lorraine Gallego-arellano Case Manager/Care Coordinator 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 2017-08-01
1154851913 Maria Concepcion Galvez Counselor 2180 W Valley Blvd, Pomona, CA 91768 2017-06-14
1689107500 Margie Moreno Interpriting Services Case Management 675 North Park Avenue, Pomona, CA 91768 2017-04-07
1386006864 Evelyn Benitez Marriage & Family Therapist 1023 Groff St, Pomona, CA 91768 2016-03-24
1962891291 Consuelo Rivera Aguilar Speech-Language Pathologist 651 North Main Street, Pomona, CA 91768 2015-01-09
1134557648 Rodolfo Perez Jr. Nurse Practitioner 1196 North Park Ave, Pomona, CA 91768 2013-10-18
1588008361 Medi-cure Health Services Counselor 1921 West Arroyo Street, Pomona, CA 91768 2013-04-23
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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1437756103 Wonderful Center for Health Innovation Inc Clinic/Center 14848 Lamberson Ave, Lost Hills, CA 93249 2020-10-06
1811452493 Wonderful Center for Health Innovation Inc Clinic/Center 2070 Veneto St, Delano, CA 93215-9122 2019-02-07
1386134815 Ventura County Community College District Clinic/Center 4667 Telegraph Road, Ventura, CA 93003-3872 2018-05-10
1104339761 Kern Community College District Clinic/Center 1801 Panorama Dr, Bakersfield, CA 93305-1219 2017-11-06
1104342393 Yosemite Community College District Clinic/Center 11600 Columbia College Dr, Sonora, CA 95370-8560 2017-08-18
1750813663 Yosemite Community College District Clinic/Center 435 College Ave, Modesto, CA 95350-5808 2017-03-30
1275937682 Emmons Student Wellness Center Clinic/Center 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 2014-10-14
1083036495 Nora Anderson Clinic/Center 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 2014-01-21
1386082766 Esteban E. Torres High School Clinic Clinic/Center 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 2013-06-07
1770920787 Allan Hancock College Clinic/Center 800 S College Dr, Santa Maria, CA 93454-6399 2013-05-30
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Competitor

Search similar providers

City POMONA
Zip Code 91768

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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