CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
NPI 1104991744
Clinic/Center - Student Health in Arcata, CA
- Organization
- Clinic/Center
- Student Health
- CLIA Number: 05D0063791
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-17-2027
About CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
This page provides the complete NPI Profile along with additional information for California State Polytechnic University, Humboldt, a primary care provider established in Arcata, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1104991744 assigned on November 2006. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated July 2026. The provider's
- NPI
- 1104991744
- Provider Legal Name
- CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1 HARPST ST BUILDING 42 ARCATA, CA 95521
- Location Phone
- (707) 826-5019
- Location Fax
- (707) 826-5042
- Mailing Address
- 1 HARPST ST STUDENT HEALTH CENTER ARCATA, CA 95521
- Mailing Phone
- (707) 826-5731
- Mailing Fax
- (707) 826-5042
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 07-15-2026
- Code Navigator
A primary care provider (PCP) like California State Polytechnic University, Humboldt 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 State
- CA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0063791
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 18, 2025
- Certificate Expiration Date
- September 17, 2027
- Laboratory Director
- JESSICA VANARSDALE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to California State Polytechnic University, Humboldt on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1104991744, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ARCATA, CA 95521
ARCATA, CA 95521
ARCATA, CA 95521
ARCATA, CA 95521
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104991744, enumerated as an "organization" on November 21, 2006.
The provider is located at 1 HARPST ST BUILDING 42 ARCATA, CA 95521 and the phone number is (707) 826-5019.
Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.
