CALIFORNIA STATE UNIVERSITY EAST BAY NPI 1366422776

NPI Information

NPI: 1366422776
Provider Name: CALIFORNIA STATE UNIVERSITY EAST BAY
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 05D0928627

Address:
25800 CARLOS BEE BLVD
HAYWARD, CA
ZIP 94542
Phone: (510) 885-3735
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CALIFORNIA STATE UNIVERSITY EAST BAY is a student health clinic center in Hayward, CA. CALIFORNIA STATE UNIVERSITY EAST BAY NPI is 1366422776. The provider is registered as an organization entity type.

The provider's business location address is:

25800 CARLOS BEE BLVD
HAYWARD, CA
ZIP 94542
Phone: (510) 885-3735
Fax: (510) 885-3230

The provider's authorized official is Cathleen U Coulman .
The authorized official title is Executive Director Student Health S and has the following contact phone number (510) 885-3639.

The CLIA number assigned to this NPI record is 05D0928627 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/20/2006 and was last updated on 7/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0089820	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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