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FULLERTON COLLEGE
NPI 1336992379
Clinic/Center - Student Health in Fullerton, CA

Active since April 09, 2024CLIA 05D0946509 · Waiver
321 E CHAPMAN AVE, FULLERTON, CA 92832(714) 992-7093 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fullerton College NPPES

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

FULLERTON COLLEGE (NPI 1336992379) is a healthcare organization registered as a student health in Fullerton, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Theresa Ullrich, Interim Director, as its authorized official.

NPPES Registry Identity

NPI1336992379
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameNORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Location Address321 E CHAPMAN AVEFullerton, CA 92832-2095
Mailing Address321 E Chapman AveFullerton, CA 92832-2095 · (714) 992-7093 · Fax (714) 992-9923
Phone(714) 992-7093
Organization SubpartYes
Authorized OfficialTheresa UllrichInterim Director · (714) 992-7094
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1336992379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
321 E CHAPMAN AVE, Fullerton, CA 92832
Open in Google Maps ↗

Other Names 1

Doing Business AsFullerton College

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 05D0946509

Fullerton College Student Health Services · Fullerton, CA
Active · expires May 26, 2028
CLIA Number05D0946509
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorGrainne A. Mcevoy
Laboratory Phone(714) 992-7093
Laboratory LocationFullerton College Student Health Services321 E Chapman Ave, Fullerton, CA 92832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JULIANNA ADELMAN
Specialist/Technologist (Athletic Trainer)
321 E CHAPMAN AVE
FULLERTON, CA 92832
Orange County (714) 992-7000
SANDRA HARRIS DAT, ATC
Specialist/Technologist (Athletic Trainer)
321 E CHAPMAN AVE
FULLERTON, CA 92832
Orange County (714) 732-5633
TAMARA TRINDER KHAN RN
Registered Nurse
321 E CHAPMAN AVE
FULLERTON, CA 92832
Orange County (714) 992-7093
JOSHUA DIETERMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
321 E CHAPMAN AVE
FULLERTON, CA 92832
Orange County (714) 992-7093

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 North Orange County Community College District's NPI number?

The NPI number for North Orange County Community College District is 1336992379. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Fullerton College.

Where is North Orange County Community College District located?

North Orange County Community College District is located at 321 E Chapman Ave, Fullerton, CA 92832. The listed phone number is (714) 992-7093.

What is North Orange County Community College District's specialty?

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

Does North Orange County Community College District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0946509) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Orange County Community College District was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.