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STUDENT HEALTH SERVICES
NPI 1932396512
Clinic/Center - Health Service in Pomona, CA

Active since September 27, 2007CLIA 05D0060416 · Accreditation
3801 W TEMPLE AVE, BUILDING #46, POMONA, CA 91768(909) 869-4000(909) 869-4561 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Student Health Services NPPES

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

STUDENT HEALTH SERVICES (NPI 1932396512) is a healthcare organization registered as a health service in Pomona, California and active in the NPI registry since September 2007. The organization holds an CLIA Accreditation certificate valid through September 30, 2027 and lists Kay Vierra, Director, as its authorized official.

NPPES Registry Identity

NPI1932396512
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSTUDENT HEALTH SERVICES
Location Address3801 W TEMPLE AVE, BUILDING #46Pomona, CA 91768-2557
Mailing Address3801 W Temple Ave, Building #46Pomona, CA 91768-2557 · (909) 869-4000 · Fax (909) 869-4561
Phone(909) 869-4000
Fax(909) 869-4561
Organization SubpartYesParent: California State Polytechnic University
Authorized OfficialKay VierraDirector · (909) 869-4000
Enumeration DateSeptember 27, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1932396512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3801 W TEMPLE AVE, Pomona, CA 91768
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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 Accreditation 05D0060416

Student Health Services Lab Cal State Poly University Pomona · Pomona, CA
Active · expires Sep 30, 2027
CLIA Number05D0060416
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Tania I. Medina
Laboratory Phone(909) 869-3218
Laboratory LocationStudent Health Services Lab Cal State Poly University Pomona3801 W Temple Ave, Bldg 46, Pomona, CA 91768
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

DR. STEVEN A DESTEFANO M.D.
Family Medicine
3801 W TEMPLE AVE, 46
POMONA, CA 91768
Los Angeles County (909) 869-4000
CAL POLY UNIVERSITY
Clinic/Center (Health Service)
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Los Angeles County (909) 869-4222
CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Clinic/Center (Student Health)
3801 W TEMPLE AVE
POMONA, CA 91768
Los Angeles County (909) 869-4000
JENNIFER M LUPO MS, ATC
Specialist/Technologist (Athletic Trainer)
3801 W TEMPLE AVE, ATHLETIC DEPARTMENT
POMONA, CA 91768
Los Angeles County (909) 869-2820
DOROTHY N DAVIS NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
3801 W TEMPLE AVE
POMONA, CA 91768
Los Angeles County (909) 869-4000
MS. NANCY L MCALLISTER NURSE PRACTITIONER
Nurse Practitioner
3801 W TEMPLE AVE, #46
POMONA, CA 91768
Los Angeles County (909) 869-4000
ALEXANDRA AUSLANDER PHD
Public Health or Welfare
3801 W TEMPLE AVE
POMONA, CA 91768
Los Angeles County (714) 318-3751
DR. LESLIE A. TYSKA M.D.
Family Medicine
3801 W TEMPLE AVE, BLDG 46
POMONA, CA 91768
Los Angeles County (909) 869-4000

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 Services's NPI number?

The NPI number for Student Health Services is 1932396512. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Student Health Services located?

Student Health Services is located at 3801 W Temple Ave Building #46, Pomona, CA 91768. The listed phone number is (909) 869-4000.

What is Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0060416) is associated with this NPI, valid through September 30, 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 Student Health Services was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.