MT. SAN JACINTO COLLEGE
NPI 1205679339
Clinic/Center - Student Health in San Jacinto, CA
About Mt. San Jacinto College NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MT. SAN JACINTO COLLEGE (NPI 1205679339) is a healthcare organization registered as a student health in San Jacinto, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Michael Beckham, Interim Vp Of Business Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 05D2196005
Mt San Jacinto Community College District · San Jacinto, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JACINTO, CA 92583
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 Mt. San Jacinto Community College District's NPI number?
The NPI number for Mt. San Jacinto Community College District is 1205679339. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is doing business as Mt. San Jacinto College.
Where is Mt. San Jacinto Community College District located?
Mt. San Jacinto Community College District is located at 1499 N State St, San Jacinto, CA 92583. The listed phone number is (951) 465-8371.
What is Mt. San Jacinto Community College District's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.
Does Mt. San Jacinto Community College District hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2196005) is associated with this NPI, valid through October 13, 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 Mt. San Jacinto Community College District was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mt. San Jacinto College · NPI 1205679339
Student Health organization in San Jacinto, California. Organization record, active in the CMS NPPES registry since June 17, 2024.
## Identity
- **NPI:** 1205679339 (Entity type: Organization)
- **Enumerated:** June 17, 2024
- **Primary specialty:** Clinic/Center - Student Health · taxonomy 261QS1000X
- **Legal business name:** Mt. San Jacinto Community College District
- **Organization subpart:** Yes (part of Mt. San Jacinto Community College District)
- **Authorized official:** Michael Beckham, INTERIM VP OF BUSINESS SERVICES
## Practice location
- **Address:** 1499 N STATE ST, San Jacinto, CA 92583-2399
- **Phone:** (951) 465-8371
## Record status
- **NPPES last updated:** July 29, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205679339) · Data from the CMS NPPES public registry.