CALIFORNIA POLYTECHNIC STATE UNIVERSITY
NPI 1558485896
Specialist/Technologist - Athletic Trainer in San Luis Obispo, CA
NPI Status: Active since March 19, 2007
Contact Information
1 GRAND AVE
SAN LUIS OBISPO, CA
ZIP 93407
Phone: (805) 756-5491
- Organization
- Specialist/Technologist
- Athletic Trainer
- CLIA Number: 05D0680747
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 03-19-2027
About CALIFORNIA POLYTECHNIC STATE UNIVERSITY
This page provides the complete NPI Profile along with additional information for California Polytechnic State University, a provider established in San Luis Obispo, California operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1558485896 assigned on March 2007. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. James Matthew Eggen Atc (Assistant Athletic Trainer)
- NPI
- 1558485896
- Provider Name
- CALIFORNIA POLYTECHNIC STATE UNIVERSITY
- Entity Type
- Organization
- Location Address
- 1 GRAND AVE SAN LUIS OBISPO, CA 93407
- Location Phone
- (805) 756-5491
- Mailing Address
- 13020 ATASCADERO RD ATASCADERO, CA 93422
- Mailing Phone
- (805) 458-5193
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 05D0680747
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- DR. RICARDO YOUNG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to California Polytechnic State University 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 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 1558485896, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
SAN LUIS OBISPO, CA 93407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558485896, enumerated as an "organization" on March 19, 2007.
The provider is located at 1 GRAND AVE SAN LUIS OBISPO, CA 93407 and the phone number is (805) 756-5491.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
