PEPPERDINE UNIVERSITY
NPI 1043867971
Clinic/Center - Student Health in Malibu, CA

NPI Status: Active since August 26, 2019

Contact Information

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

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 05D0876039
  • CLIA Cert. Type: Other - UNIVERSITY STUDENT HEALTH
  • CLIA Exp. Date: 09-30-2026

About PEPPERDINE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Pepperdine University, a primary care provider established in Malibu, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1043867971 assigned on August 2019. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Nicole Mariko Elby Pt, Dpt, Scs, Atc (Rehabilitation Coordinator)

NPI
1043867971
Provider Name
PEPPERDINE UNIVERSITY
Entity Type
Organization
Location Address
24255 PACIFIC COAST HWY MALIBU, CA 90263
Location Phone
(310) 506-4316
Mailing Address
24255 PACIFIC COAST HWY MALIBU, CA 90263
Mailing Phone
(310) 506-4316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2019
Last Update Date
08-26-2019
Code Navigator

A primary care provider (PCP) like Pepperdine University sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE MARIKO ELBY PT, DPT, SCS, ATC

Authorized Official Title
REHABILITATION COORDINATOR
Authorized Official Phone
(310) 506-4169

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0876039
Facility Type
Other - UNIVERSITY STUDENT HEALTH
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
DR. LUCY K. LARSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pepperdine University to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043867971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 6 + 6 + 1 + 4 + 9 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043867971.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, PEPPERDINE UNIVERSITY ATHLETICS
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, DEPARTMENT OF ATHLETICS, PEPPERDINE UNIVERSITY
MALIBU, CA 90263
Registered Nurse (College Health)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Pediatrics
24255 PACIFIC COAST HWY, PEPPERDINE STUDENT HEALTH CENTER
MALIBU, CA 90263
Physician Assistant
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Internal Medicine (Endocrinology, Diabetes & Metabolism)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Psychologist (Clinical)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Chiropractor (Sports Physician)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, ATHLETIC DEPARTMENT
MALIBU, CA 90263
Counselor (Mental Health)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA 90263
Physical Therapist (Sports)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043867971, enumerated as an "organization" on August 26, 2019.

The provider is located at 24255 PACIFIC COAST HWY MALIBU, CA 90263 and the phone number is (310) 506-4316.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.