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SANTIAGO CANYON COLLEGE
NPI 1386915593
Family Medicine - Adult Medicine in Orange, CA

Active since January 19, 2012CLIA 05D0977867 · Waiver
8045 EAST CHAPMAN AVE, BUILDING T - 102 STUDENT HEALTH, ORANGE, CA 92869(714) 628-4773(714) 628-4749 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Santiago Canyon College NPPES

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

SANTIAGO CANYON COLLEGE (NPI 1386915593), doing business as Student Health And Wellness Center, is a healthcare organization registered as an adult medicine in Orange, California and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Renee E. Yocam, College Physician, as its authorized official.

NPPES Registry Identity

NPI1386915593
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSANTIAGO CANYON COLLEGE
Location Address8045 EAST CHAPMAN AVE, BUILDING T - 102 STUDENT HEALTHOrange, CA 92869-4773
Mailing Address8045 East Chapman Ave, Building T - 102 Student HealthOrange, CA 92869-4773 · (714) 628-4773 · Fax (714) 628-4749
Phone(714) 628-4773
Fax(714) 628-4749
Organization SubpartYesParent: Santiago Canyon College Student Health Center
Authorized OfficialRenee E. YocamCollege Physician · (714) 628-4773
Enumeration DateJanuary 19, 2012
✔ NPI 1386915593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · Z0A8350
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY20612 (CA)
Also ListedRegistered NurseTaxonomy 163W00000X · License B307289 (CA)
8045 EAST CHAPMAN AVE, Orange, CA 92869
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Other Names 1

Former Legal Business NameStudent Health And Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D0977867

Santiago Canyon College Health And Wellness Center · Orange, CA
Active · expires Sep 8, 2026
CLIA Number05D0977867
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorRenee E. Yocam
Laboratory Phone(714) 628-4773
Laboratory LocationSantiago Canyon College Health And Wellness Center8045 E Chapman Ave Bldg T Rms 103-105, Orange, CA 92869
CLIA data matches this NPI record on: Address Name Phone
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 Santiago Canyon College's NPI number?

The NPI number for Santiago Canyon College is 1386915593. It was assigned to this organization in the NPPES registry on January 19, 2012. The provider was formerly known as Student Health And Wellness Center.

Where is Santiago Canyon College located?

Santiago Canyon College is located at 8045 East Chapman Ave Building T - 102 Student Health, Orange, CA 92869. The listed phone number is (714) 628-4773.

What is Santiago Canyon College's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Santiago Canyon College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0977867) is associated with this NPI, valid through September 8, 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 Santiago Canyon College was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.