CALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO
NPI 1720140288
Clinic/Center - Student Health in San Luis Obispo, CA

Q: What is California Polytechnic State University At San Luis Obispo's specialty?

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

Active since December 14, 2006

1 GRAND AVE, SAN LUIS OBISPO, CA 93407(805) 756-1211 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Jan 23, 2026 (2 updates tracked since 2026).

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About California Polytechnic State University At San Luis Obispo NPPES

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

CALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO (NPI 1720140288) is a healthcare organization registered as a student health in San Luis Obispo, California and active in the NPI registry since December 2006. The organization lists Tina Hadaway-mellis, Avp For Student Affairs Health, as its authorized official.

NPPES Registry Identity

NPI1720140288

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameCALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO

Location Address1 GRAND AVESan Luis Obispo, CA 93407-9000

Mailing Address1 Grand AveSan Luis Obispo, CA 93407-9000 · (805) 756-1211

Phone(805) 756-1211

Organization SubpartNo

Authorized OfficialTina Hadaway-mellisAvp For Student Affairs Health · (805) 756-5206

Enumeration DateDecember 14, 2006

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1720140288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

License✔ Licensed in CA · RN 348161

1 GRAND AVE, San Luis Obispo, CA 93407

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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.

PAUL BRYLEWSKI P.A.

Physician Assistant

1 GRAND AVE
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-1211

DR. JOHN EVERETT GARCIA M.D

Emergency Medicine

1 GRAND AVE, CALIFORNIA POLYTECHNIC UNIVERSITY
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-5373

PATRICIA FRANCO ROBINSON MD

Family Medicine

1 GRAND AVE
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-1211

DR. GREGORY W. THOMAS M.D.

Family Medicine

1 GRAND AVE, CALIFORNIA POLYTECHNIC STATE UNIVERSITY SAN LUIS OBISPO
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-1211

DR. DAVID W. RALSTON M.D.

Internal Medicine

1 GRAND AVE, CAL POLY STUDENT HEALTH SERVICES
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-1211

DR. LISA INEZ SWEATT PH.D.

Psychologist (Clinical Child & Adolescent)

1 GRAND AVE, CAL POLY STATE UNIV.,PSYCHOLOGY & CHILD DEV. DEPARTMENT
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-6123

MS. RAECHEL NICOLE CUNNINGHAM ATC

Specialist/Technologist (Athletic Trainer)

1 GRAND AVE
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-5491

MR. PAUL ERIC GABRIELSON MA, ATC

Specialist/Technologist (Athletic Trainer)

1 GRAND AVE, ATHLETICS
SAN LUIS OBISPO, CA 93407

San Luis Obispo County (805) 756-2096

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 Polytechnic State University At San Luis Obispo's NPI number?

The NPI number for California Polytechnic State University At San Luis Obispo is 1720140288. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is California Polytechnic State University At San Luis Obispo located?

California Polytechnic State University At San Luis Obispo is located at 1 Grand Ave, San Luis Obispo, CA 93407. The listed phone number is (805) 756-1211.

What is California Polytechnic State University At San Luis Obispo's specialty?

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

When was this NPI record last updated?

The NPPES record for California Polytechnic State University At San Luis Obispo was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.