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SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI 1083715890
Clinic/Center in San Diego, CA

Active since September 26, 2006CLIA 05D0060831 · Accreditation
5500 CAMPANILE DR, SAN DIEGO, CA 92182(619) 594-4325(619) 594-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Diego State University Student Health Services NPPES

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

SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES (NPI 1083715890) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through December 15, 2026 and lists David Burns, Associate Vice President, as its authorized official.

NPPES Registry Identity

NPI1083715890
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Location Address5500 CAMPANILE DRSan Diego, CA 92182-4701
Mailing Address5500 Campanile DrSan Diego, CA 92182-4701 · (619) 594-4325 · Fax (619) 594-4260
Phone(619) 594-4325
Fax(619) 594-4260
Organization SubpartNo
Authorized OfficialDavid BurnsAssociate Vice President · (619) 594-6018
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1083715890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5500 CAMPANILE DR, San Diego, CA 92182
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Other Identifiers 1

MedicaidEXE70109FCA

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 Accreditation 05D0060831

San Diego State University Student Health Services Lab · San Diego, CA
Active · expires Dec 15, 2026
CLIA Number05D0060831
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDr. Diane R. Fernandez
Laboratory Phone(619) 594-5947
Laboratory LocationSan Diego State University Student Health Services Lab5700 Hardy Ave, Rm 2400, San Diego, CA 92182
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

SAMANTHA QUEEN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200
MCKENNA PETERSON
Specialist/Technologist (Athletic Trainer)
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200
ERIC ESTRADA
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 753-8554
SHERRIE JACOBY NP
Clinic/Center (Health Service)
5500 CAMPANILE DR, STUDENT HEALTH CENTER
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
DR. CHAUNDA CLARISHA CELENTANO DNP, FNP-C, CPNP-PC
Family Medicine
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
GREG GASTALDO M.D.
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
JACKSON MILES MCCLAIN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (510) 833-4127
CRISTAL MORENO
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200

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 San Diego State University Student Health Services's NPI number?

The NPI number for San Diego State University Student Health Services is 1083715890. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is San Diego State University Student Health Services located?

San Diego State University Student Health Services is located at 5500 Campanile Dr, San Diego, CA 92182. The listed phone number is (619) 594-4325.

What is San Diego State University Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does San Diego State University Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0060831) is associated with this NPI, valid through December 15, 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 San Diego State University Student Health Services was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.