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AZUSA PACIFIC UNIVERSITY
NPI 1104002146
Community/Behavioral Health in Azusa, CA

Active since January 19, 2008CLIA 05D0899079 · Waiver
918 E ALOSTA AVE, AZUSA, CA 91702(626) 815-5421 Get Directions Write a Review

NPPES record last updated: January 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Azusa Pacific University NPPES

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

AZUSA PACIFIC UNIVERSITY (NPI 1104002146) is a healthcare organization registered as a community/behavioral health in Azusa, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Mark Dickerson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104002146
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAZUSA PACIFIC UNIVERSITY
Location Address918 E ALOSTA AVEAzusa, CA 91702-2709
Mailing Address901 E Alosta AveAzusa, CA 91702-2701 · (626) 815-5421 · Fax (626) 815-5015
Phone(626) 815-5421
Organization SubpartNo
Authorized OfficialMark DickersonVice President · (626) 387-5763
Enumeration DateJanuary 19, 2008
✔ NPI 1104002146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
918 E ALOSTA AVE, Azusa, CA 91702
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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 05D0899079

Azusa Pacific University Health Center · Azusa, CA
Active · expires Sep 20, 2027
CLIA Number05D0899079
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorStanton T. Emerson D.O.
Laboratory Phone(626) 815-2100
Laboratory LocationAzusa Pacific University Health Center901 E Alosta Ave, Azusa, CA 91702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Azusa Pacific University's NPI number?

The NPI number for Azusa Pacific University is 1104002146. It was assigned to this organization in the NPPES registry on January 19, 2008.

Where is Azusa Pacific University located?

Azusa Pacific University is located at 918 E Alosta Ave, Azusa, CA 91702. The listed phone number is (626) 815-5421.

What is Azusa Pacific University's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Azusa Pacific University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0899079) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Azusa Pacific University was last updated on January 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.