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CALIFORNIA POLYTECHNIC STATE UNIVERSITY NPI 1558485896


NPI Information

NPI: 1558485896
Provider Name: CALIFORNIA POLYTECHNIC STATE UNIVERSITY
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Organization

Specialization: Athletic Trainer

CLIA Number: 05D0680747

Address:
1 GRAND AVE
SAN LUIS OBISPO, CA
ZIP 93407
Phone: (805) 756-5491
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CALIFORNIA POLYTECHNIC STATE UNIVERSITY is an athletic trainer specialist technologist in San Luis Obispo, CA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. CALIFORNIA POLYTECHNIC STATE UNIVERSITY NPI is 1558485896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 GRAND AVE
SAN LUIS OBISPO, CA
ZIP 93407-000
Phone: (805) 756-5491

The provider's authorized official is James Matthew Eggen .
The authorized official title is Assistant Athletic Trainer and has the following contact phone number (805) 756-5491.

The CLIA number assigned to this NPI record is 05D0680747 - school/student health service with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


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
12255A2300XSpecialist/TechnologistAthletic TrainerCALIFORNIAYes

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

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