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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
NPI 1104991744
Clinic/Center - Student Health in Arcata, CA

Active since November 21, 2006CLIA 05D0063791 · Accreditation
1 HARPST ST, BUILDING 42, ARCATA, CA 95521(707) 826-5019(707) 826-5042 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About California State Polytechnic University, Humboldt NPPES

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

CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT (NPI 1104991744) is a healthcare organization registered as a student health in Arcata, California and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through September 17, 2027 and lists Jennifer Lianne Sanford, Executive Director, Shws, as its authorized official.

NPPES Registry Identity

NPI1104991744
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameCALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
Location Address1 HARPST ST, BUILDING 42Arcata, CA 95521-8222
Mailing Address1 Harpst St, Student Health CenterArcata, CA 95521-8222 · (707) 826-5731 · Fax (707) 826-5042
Phone(707) 826-5019
Fax(707) 826-5042
Organization SubpartNo
Authorized OfficialJennifer Lianne SanfordExecutive Director, Shws · (707) 826-3146
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1104991744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1 HARPST ST, Arcata, CA 95521
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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 Accreditation 05D0063791

Student Health Center Laboratory · Arcata, CA
Active · expires Sep 17, 2027
CLIA Number05D0063791
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorJessica Vanarsdale
Laboratory Phone(707) 826-5036
Laboratory LocationStudent Health Center LaboratoryCal Poly Humboldt 1 Harpst Street, Arcata, CA 95521
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.

THEA LAMERS
Health and Wellness Coach
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 298-3890
JANIEL VEBEKE GIRALDO AMFT
Marriage & Family Therapist
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236
DR. JENNIFER LIANNE SANFORD PHD
Psychologist (Clinical)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-5731
MICHELE C SCHNEIDER ATC
Specialist/Technologist (Athletic Trainer)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 499-9599
JAMIE JULIANNE GUTIERREZ
Marriage & Family Therapist
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236
RUTH EPPERSON
Student in an Organized Health Care Education/Training Program
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3146
LINDA MARIE MORRISSEY
Social Worker (Clinical)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236
ALEXXA JADE PERDOMO
Student in an Organized Health Care Education/Training Program
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3011

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, Humboldt's NPI number?

The NPI number for California State Polytechnic University, Humboldt is 1104991744. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is also known as Student Health Center.

Where is California State Polytechnic University, Humboldt located?

California State Polytechnic University, Humboldt is located at 1 Harpst St Building 42, Arcata, CA 95521. The listed phone number is (707) 826-5019.

What is California State Polytechnic University, Humboldt's specialty?

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

Does California State Polytechnic University, Humboldt hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0063791) is associated with this NPI, valid through September 17, 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 California State Polytechnic University, Humboldt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.