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

NPI Status: Active since November 28, 2007

Contact Information

3801 W TEMPLE AVE
POMONA, CA
ZIP 91768
Phone: (909) 869-4000

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  • Organization
  • Clinic/Center
  • Student Health

About CALIFORNIA STATE POLYTECHNIC UNIVERSITY

This page provides the complete NPI Profile along with additional information for California State Polytechnic University, a primary care provider established in Pomona, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1063694479 assigned on November 2007. The practitioner's primary taxonomy code is 261QS1000X with license number 306630 (CA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Kay Vierra (Interim Director)

NPI
1063694479
Provider Name
CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Entity Type
Organization
Location Address
3801 W TEMPLE AVE POMONA, CA 91768
Location Phone
(909) 869-4000
Mailing Address
3801 W TEMPLE AVE POMONA, CA 91768
Mailing Phone
(909) 869-4000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2007
Last Update Date
11-28-2007
Code Navigator

A primary care provider (PCP) like California State Polytechnic 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
License No.
306630
License State
CA

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

KAY VIERRA

Authorized Official Title
INTERIM DIRECTOR
Authorized Official Phone
(909) 869-2760

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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 1063694479, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 6 → 12 → 3 6 → 12 → 3 4 → 8 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 + 1 + 2 + 3 + 1 + 2 + 9 + 8 + 4 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063694479.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
3801 W TEMPLE AVE, ATHLETIC DEPARTMENT
POMONA, CA 91768
Clinic/Center (Health Service)
3801 W TEMPLE AVE, BUILDING #46
POMONA, CA 91768
Family Medicine
3801 W TEMPLE AVE, 46
POMONA, CA 91768
Nurse Practitioner (Women's Health)
3801 W TEMPLE AVE
POMONA, CA 91768
Clinic/Center (Health Service)
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Nurse Practitioner
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Family Medicine
3801 W TEMPLE AVE, BLDG 46
POMONA, CA 91768
Public Health or Welfare
3801 W TEMPLE AVE
POMONA, CA 91768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063694479, enumerated as an "organization" on November 28, 2007.

The provider is located at 3801 W TEMPLE AVE POMONA, CA 91768 and the phone number is (909) 869-4000.

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