CAL STATE LOS ANGELES
NPI 1760914782
Chiropractor in Los Angeles, CA

Active since March 29, 2017CLIA 05D0864656 · Waiver
5151 STATE UNIVERSITY DR, LOS ANGELES, CA 90032(972) 367-4845 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cal State Los Angeles NPPES

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

CAL STATE LOS ANGELES (NPI 1760914782) is a healthcare organization registered as a chiropractor in Los Angeles, California and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1760914782
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCALIFORNIA STATE UNIVERSITY, LOS ANGELES
Location Address5151 STATE UNIVERSITY DRLos Angeles, CA 90032-4226
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateMarch 29, 2017
NPI 1760914782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 18176
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5151 STATE UNIVERSITY DR, Los Angeles, CA 90032

Other Names 1

Doing Business AsCal State Los Angeles

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 05D0864656

Cal State Los Angeles Health Lab · Los Angeles, CA
Active · expires Oct 10, 2027
CLIA Number05D0864656
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorRolando Tringale
Laboratory Phone(323) 343-5561
Laboratory LocationCal State Los Angeles Health Lab5151 State University Dr Student Health Center, Los Angeles, CA 90032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Counselor (Mental Health)
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Nurse Practitioner (Family)
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Pharmacist
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Nurse Practitioner (Psychiatric/Mental Health)
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Nurse Practitioner (Psychiatric/Mental Health)
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Student in an Organized Health Care Education/Training Program
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Physician Assistant
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032
Nurse Practitioner
5151 STATE UNIVERSITY DR
LOS ANGELES, CA 90032

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 State University, Los Angeles's NPI number?

The NPI number for California State University, Los Angeles is 1760914782. It was assigned to this organization in the NPPES registry on March 29, 2017. The provider is doing business as Cal State Los Angeles.

Where is California State University, Los Angeles located?

California State University, Los Angeles is located at 5151 State University Dr, Los Angeles, CA 90032. The listed phone number is (972) 367-4845.

What is California State University, Los Angeles's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does California State University, Los Angeles hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0864656) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for California State University, Los Angeles was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.