CALIFORNIA NORTHSTATE UNIVERSITY
NPI 1396318887
Clinic/Center - Health Service in Elk Grove, CA
About California Northstate University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALIFORNIA NORTHSTATE UNIVERSITY (NPI 1396318887) is a healthcare organization registered as a health service in Elk Grove, California and active in the NPI registry since July 2021. The organization lists Alvin Cheung, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
California Northstate University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 Northstate University's NPI number?
The NPI number for California Northstate University is 1396318887. It was assigned to this organization in the NPPES registry on July 21, 2021.
Where is California Northstate University located?
California Northstate University is located at 9700 West Taron Dr., Elk Grove, CA 95757. The listed phone number is (916) 686-8975.
What is California Northstate University's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is California Northstate University enrolled in Medicare?
Yes. California Northstate University is registered in the Medicare PECOS enrollment system.
When is California Northstate University's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for California Northstate University was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# California Northstate University · NPI 1396318887
Health Service organization in Elk Grove, California. Organization record, active in the CMS NPPES registry since July 21, 2021.
## Identity
- **NPI:** 1396318887 (Entity type: Organization)
- **Enumerated:** July 21, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Alvin Cheung, PRESIDENT & CEO
## Practice location
- **Address:** 9700 WEST TARON DR., Elk Grove, CA 95757
- **Phone:** (916) 686-8975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Mass Immunization (Roster Biller Only)) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396318887) · Data from the CMS NPPES public registry.