SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES


Address: 5500 Campanile Dr, San Diego, CA 92182-4701
Phone: 6195944325

SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES (NPI# 1184703381) 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) 1184703381
Entity Type Organization
Organization Name SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Practice Address 5500 Campanile Dr
San Diego
CA 92182-4701
Practice Telephone 6195944325
Practice Fax Number 6195944260
Mailing Telephone 6195944325
Mailing Fax Number 6195944260
Enumeration Date 2006-11-06
Last Update Date 2020-08-22
Authorized Official Name MR. DAVID SCOTT BURNS (ASSOCIATE VICE PRESIDENT BUSINESS E)
Authorized Official Telephone 6195946018
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy HPE 14078 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA PHB140780 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083715890 San Diego State University Student Health Services Clinic/Center 5500 Campanile Dr, San Diego, CA 92182-4701 2006-09-26

Office Location

Street Address 5500 CAMPANILE DR
City SAN DIEGO
State CA
Zip Code 92182-4701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649206269 Denise Ann Wiksten Specialist/Technologist 5500 Campanile Dr, Dept. of Exercise & Nutritional Sciences, San Diego, CA 92182-0001 2006-06-24
1326663840 Lisa Marie Contois Specialist/Technologist 5500 Campanile Dr, San Diego, CA 92182-0001 2020-06-10
1013547058 Samantha Queen Specialist/Technologist 5500 Campanile Dr, San Diego, CA 92182-0001 2020-01-17
1134777246 Sara Alyson Leighanne Self Specialist/Technologist 5500 Campanile Dr, San Diego, CA 92182-1680 2019-09-01
1033767793 Eric Estrada Student in an Organized Health Care Education/Training Program 5500 Campanile Dr, San Diego, CA 92182-0001 2019-08-27
1376009506 Kyle Nicholas Llorens Physical Therapist 5500 Campanile Dr, San Diego, CA 92182-0001 2019-02-12
1336604990 Alaina Katherine Nicholas Student in an Organized Health Care Education/Training Program 5500 Campanile Dr, San Diego, CA 92182-0001 2019-02-07
1518431972 Nathaniel Burns Bechtel Student in an Organized Health Care Education/Training Program 5500 Campanile Dr, San Diego, CA 92182-0003 2019-01-17
1205325065 Queenie Soriano Specialist/Technologist 5500 Campanile Dr, San Diego, CA 92182-0001 2018-05-08
1558850370 Kristin Anne Manyak Specialist/Technologist 5500 Campanile Dr, San Diego, CA 92182-0001 2018-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184137861 Megan Lawler Specialist/Technologist 5032 55th Street, San Diego, CA 92182 2017-11-16
1548501703 Jon Eric Alexander Counselor 5500 Campanile Dr., San Diego, CA 92182 2013-03-12
1114575875 Rand Al Urfali Student in an Organized Health Care Education/Training Program 5500 Campanile Drive, San Diego, CA 92182 2019-08-27
1326414988 Rachel Mahoney Counselor 5500 Campanile Drive, San Diego, CA 92182 2015-08-18
1215551551 Jacob Riley Callahan Specialist/Technologist 5302 55th St, San Diego, CA 92182-0001 2020-06-02
1164573234 Amol Narendra Doshi Preventive Medicine Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 2007-01-16
1710973953 Cathy Ann Baughman-gross Nurse Practitioner 7500 Hardy Ave, San Diego, CA 92182-0001 2005-09-22
1972531994 Donald Fredrick Kessler Specialist/Technologist 5500 Campanille Dr, San Diego, CA 92182-4313 2006-06-29
1033184064 Carolyn Rae Peters Specialist/Technologist 5505 Campanile Dr., Aac 1402, San Diego, CA 92182-4313 2006-02-22
1902443518 Sergio Miguel Ibarra Specialist/Technologist 5500 Campanile Drive, San Diego, CA 92182-4313 2019-12-02
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1720607112 Kaiser Foundation Health Plan Inc Pharmacy 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 2020-04-15
1275169005 Corrections and Rehabilitation Pharmacy 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 2020-03-12
1942772272 Rising Star Holdings LLC Pharmacy 500 S Dr Ee Dunlap Hwy Ste C, San Diego, TX 78384-3415 2018-12-27
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
1912362377 Dt Pharmacy Corporation Pharmacy 5507 El Cajon Blvd # E, San Diego, CA 92115-3624 2015-12-29
1649600487 Aids Healthcare Foundation Pharmacy 3940 Fourth Avenue, Suite 150, San Diego, CA 92103-7193 2013-11-14
1144574260 Medpilot Pharmacy Inc. Pharmacy 9323 Chesapeake Dr, Suite #c1, San Diego, CA 92123-1044 2012-10-29
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Competitor

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City SAN DIEGO
Zip Code 92182

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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