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

Active since August 26, 2019CLIA 05D0876039 · Waiver
24255 PACIFIC COAST HWY, MALIBU, CA 90263(310) 506-4316 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pepperdine University NPPES

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

PEPPERDINE UNIVERSITY (NPI 1043867971) is a healthcare organization registered as a student health in Malibu, California and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Nicole Mariko Elby, Rehabilitation Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043867971
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NamePEPPERDINE UNIVERSITY
Location Address24255 PACIFIC COAST HWYMalibu, CA 90263-3999
Mailing Address24255 Pacific Coast HwyMalibu, CA 90263-3999 · (310) 506-4316
Phone(310) 506-4316
Organization SubpartNo
Authorized OfficialNicole Mariko ElbyRehabilitation Coordinator · (310) 506-4169
Enumeration DateAugust 26, 2019
✔ NPI 1043867971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
24255 PACIFIC COAST HWY, Malibu, CA 90263
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Other Names 1

Other NameStudent Health Center

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 05D0876039

Pepperdine University Student Health Center · Malibu, CA
Active · expires Sep 30, 2026
CLIA Number05D0876039
Laboratory TypeUniversity Student Health
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Lucy K. Larson
Laboratory Phone(310) 506-4316
Laboratory LocationPepperdine University Student Health Center24255 Pch, Osa Building Student Health Center, Malibu, CA 90263
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE SNIFFEN ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, ATHLETIC DEPARTMENT
MALIBU, CA 90263
Los Angeles County (310) 506-4169
NANCY SAFINICK P.A.
Physician Assistant
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4316
ALEX JASON VANDER VORSTE MS, ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA 90263
Los Angeles County (310) 506-4169
NICOLE DENISE BULICK ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4169
ANNIE PLUMB LAT, ATC, MS
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (402) 517-8488
DR. KATHLEEN ELDRIDGE PHD
Psychologist (Clinical)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-8559
KARISSA ANN SCHERER MS, ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4961
MS. LUCY KAISER LARSON M.D.
Pediatrics
24255 PACIFIC COAST HWY, PEPPERDINE STUDENT HEALTH CENTER
MALIBU, CA 90263
Los Angeles County (310) 506-4316

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 Pepperdine University's NPI number?

The NPI number for Pepperdine University is 1043867971. It was assigned to this organization in the NPPES registry on August 26, 2019. The provider is also known as Student Health Center.

Where is Pepperdine University located?

Pepperdine University is located at 24255 Pacific Coast Hwy, Malibu, CA 90263. The listed phone number is (310) 506-4316.

What is Pepperdine University's specialty?

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

Does Pepperdine University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0876039) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pepperdine University was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.