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CALIFORNIA STATE POLYTECHNIC UNIVERSITY
NPI 1063694479
Clinic/Center - Student Health in Pomona, CA

Active since November 28, 2007
3801 W TEMPLE AVE, POMONA, CA 91768(909) 869-4000 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About California State Polytechnic University NPPES

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

CALIFORNIA STATE POLYTECHNIC UNIVERSITY (NPI 1063694479) is a healthcare organization registered as a student health in Pomona, California and active in the NPI registry since November 2007. The organization lists Kay Vierra, Interim Director, as its authorized official.

NPPES Registry Identity

NPI1063694479
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameCALIFORNIA STATE POLYTECHNIC UNIVERSITY
Location Address3801 W TEMPLE AVEPomona, CA 91768-2557
Mailing Address3801 W Temple AvePomona, CA 91768-2557 · (909) 869-4000
Phone(909) 869-4000
Organization SubpartNo
Authorized OfficialKay VierraInterim Director · (909) 869-2760
Enumeration DateNovember 28, 2007
✔ NPI 1063694479 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 · 306630
3801 W TEMPLE AVE, Pomona, CA 91768
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Other Providers at the Same Location NPPES 8

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

JENNIFER M LUPO MS, ATC
Specialist/Technologist (Athletic Trainer)
3801 W TEMPLE AVE, ATHLETIC DEPARTMENT
POMONA, CA 91768
Los Angeles County (909) 869-2820
STUDENT HEALTH SERVICES
Clinic/Center (Health Service)
3801 W TEMPLE AVE, BUILDING #46
POMONA, CA 91768
Los Angeles County (909) 869-4000
DR. STEVEN A DESTEFANO M.D.
Family Medicine
3801 W TEMPLE AVE, 46
POMONA, CA 91768
Los Angeles County (909) 869-4000
DOROTHY N DAVIS NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
3801 W TEMPLE AVE
POMONA, CA 91768
Los Angeles County (909) 869-4000
CAL POLY UNIVERSITY
Clinic/Center (Health Service)
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Los Angeles County (909) 869-4222
MS. NANCY L MCALLISTER NURSE PRACTITIONER
Nurse Practitioner
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Los Angeles County (909) 869-4000
DR. LESLIE A. TYSKA M.D.
Family Medicine
3801 W TEMPLE AVE, BLDG 46
POMONA, CA 91768
Los Angeles County (909) 869-4000
ALEXANDRA AUSLANDER PHD
Public Health or Welfare
3801 W TEMPLE AVE
POMONA, CA 91768
Los Angeles County (714) 318-3751

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 California State Polytechnic University's NPI number?

The NPI number for California State Polytechnic University is 1063694479. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is California State Polytechnic University located?

California State Polytechnic University is located at 3801 W Temple Ave, Pomona, CA 91768. The listed phone number is (909) 869-4000.

What is California State Polytechnic University's specialty?

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

When was this NPI record last updated?

The NPPES record for California State Polytechnic University was last updated on November 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.