SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES
NPI 1033320726
Clinic/Center - Student Health in Redding, CA

Active since May 24, 2007CLIA 05D0956664 · Waiver
11555 OLD OREGON TRL, REDDING, CA 96003(530) 242-7580(530) 225-4968 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shasta Community College - Student Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES (NPI 1033320726) is a healthcare organization registered as a student health in Redding, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Julian Fuentes, Contracted Physician, as its authorized official.

NPPES Registry Identity

NPI1033320726
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES
Location Address11555 OLD OREGON TRLRedding, CA 96003-7692
Mailing Address11555 Old Oregon TrlRedding, CA 96003-7692 · (530) 242-7580 · Fax (530) 225-4968
Fax(530) 225-4968
Organization SubpartNo
Authorized OfficialJulian FuentesContracted Physician · (530) 242-7580
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1033320726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License Licensed in CA · G45631
11555 OLD OREGON TRL, Redding, CA 96003

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0956664

Shasta Community College Health & Wellness Office · Redding, CA
Active · expires Feb 2, 2027
CLIA Number05D0956664
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorFrederick M. David MD
Laboratory Phone(530) 242-7580
Laboratory LocationShasta Community College Health & Wellness Office11555 Old Oregon Trail Room 2020, Redding, CA 96049
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Community College - Student Health Services's NPI number?

The NPI number for Shasta Community College - Student Health Services is 1033320726. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Shasta Community College - Student Health Services located?

Shasta Community College - Student Health Services is located at 11555 Old Oregon Trl, Redding, CA 96003. The listed phone number is (530) 242-7580.

What is Shasta Community College - Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Shasta Community College - Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0956664) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shasta Community College - Student Health Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.