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SONOMA STATE UNIVERSITY
NPI 1699838763
Clinic/Center - Student Health in Rohnert Park, CA

Active since December 19, 2006CLIA 05D0703841 · Certificate of Compliance
1801 E COTATI AVE, STUDENT HEALTH CENTER, ROHNERT PARK, CA 94928(707) 664-2921(707) 664-2925 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonoma State University NPPES

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

SONOMA STATE UNIVERSITY (NPI 1699838763) is a healthcare organization registered as a student health in Rohnert Park, California and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 4, 2028 and lists Irvin William Whitaker, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1699838763
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSTUDENT HEALTH CTR PHARMACY
Location Address1801 E COTATI AVE, STUDENT HEALTH CENTERRohnert Park, CA 94928-3613
Mailing Address1801 E. Cotati Ave, Student Health CenterRohnert Park, CA 94928 · (707) 664-2921 · Fax (707) 664-2925
Phone(707) 664-2921
Fax(707) 664-2925
Organization SubpartNo
Authorized OfficialIrvin William WhitakerPharmacist In Charge · (707) 664-2921
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1699838763 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
License✔ Licensed in CA · PHE 19589
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License PHE19589 (CA)
1801 E COTATI AVE, Rohnert Park, CA 94928
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Other Names 1

Other NameSonoma State University

Other Identifiers 1

OtherPHE 19589CA · Retail Pharmacy License

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 Compliance 05D0703841

Sonoma State University Student Health Center · Rohnert Park, CA
Active · expires May 4, 2028
CLIA Number05D0703841
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorTimothy W. Kaczmar
Laboratory Phone(707) 664-2921
Laboratory LocationSonoma State University Student Health Center1801 E Cotati Ave, Rohnert Park, CA 94928
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

MRS. PATRICIA G. MCBRIDE RNNP
Nurse Practitioner
1801 E COTATI AVE, SONOMA STATE UNIVERSITY
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2921
MS. CYNTHIA SUE RENFREW RN,MS,FNP
Nurse Practitioner (Family)
1801 E COTATI AVE, SONOMA STATE UNIVERSITY STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2921
MR. BO ERNEST OWENS ATC, CSCS
Specialist
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Sonoma County (707) 664-4316
APRIL SEYMON M.A.T., A.T.C.
Specialist/Technologist (Athletic Trainer)
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2421
JEANETTE MARIE MARRERO
Registered Nurse
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2465
MS. GAIL HARRIET KRAMER RNNP
Nurse Practitioner (Adult Health)
1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2921
DR. GEORGIA GRACE SCHWARTZ MD
Pediatrics (Adolescent Medicine)
1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Sonoma County (707) 664-2921
MISS JENNIFER SARAH BUESCHER MSN FNP
Nurse Practitioner (Family)
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Sonoma County (707) 843-0652

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 Student Health Ctr Pharmacy's NPI number?

The NPI number for Student Health Ctr Pharmacy is 1699838763. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is also known as Sonoma State University.

Where is Student Health Ctr Pharmacy located?

Student Health Ctr Pharmacy is located at 1801 E Cotati Ave Student Health Center, Rohnert Park, CA 94928. The listed phone number is (707) 664-2921.

What is Student Health Ctr Pharmacy's specialty?

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

Does Student Health Ctr Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0703841) is associated with this NPI, valid through May 4, 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 Student Health Ctr Pharmacy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.