PEPPERDINE UNIVERSITY NPI 1043867971

NPI Information

  • NPI: 1043867971
  • Provider Name: PEPPERDINE UNIVERSITY
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • CLIA Number: 05D0876039
  • Address: 24255 PACIFIC COAST HWY
    MALIBU, CA
    ZIP 90263
  • Phone: (310) 506-4316

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NPI Details

PEPPERDINE UNIVERSITY is a student health clinic center in Malibu, CA. PEPPERDINE UNIVERSITY NPI is 1043867971. The provider is registered as an organization entity type.

The provider's business location address is:

24255 PACIFIC COAST HWY
MALIBU, CA
ZIP 90263-999
Phone: (310) 506-4316

The provider's authorized official is Nicole Mariko Elby .
The authorized official title is Rehabilitation Coordinator and has the following contact phone number (310) 506-4169.

The CLIA number assigned to this NPI record is 05D0876039 - other - university student health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 8/26/2019.

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
1261QS1000XClinic/CenterStudent HealthYes

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: 11/21/2025

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