MT. SAN ANTONIO COLLEGE
NPI 1962687269
Clinic/Center - Student Health in Walnut, CA
- Organization
- Clinic/Center
- Student Health
- CLIA Number: 05D0867498
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-31-2026
About MT. SAN ANTONIO COLLEGE
This page provides the complete NPI Profile along with additional information for Mt. San Antonio College, a primary care provider established in Walnut, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1962687269 assigned on January 2008. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mrs. Sandra Samples Rn (Director, Student Health Services)
- NPI
- 1962687269 Verify this NPI
- Provider Name
- MT. SAN ANTONIO COLLEGE
- Entity Type
- Organization
- Location Address
- 1100 N GRAND AVE 67B WALNUT, CA 91789
- Location Phone
- (909) 594-5611
- Location Fax
- (909) 468-3997
- Mailing Address
- 1100 N GRAND AVE 67B WALNUT, CA 91789
- Mailing Phone
- (909) 591-5611
- Mailing Fax
- (909) 468-3997
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2008
- Last Update Date
- 01-04-2008
- Code Navigator
A primary care provider (PCP) like Mt. San Antonio College sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Student Health
- Taxonomy Code
- 261QS1000X
- Type
- Ambulatory Health Care Facilities
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
- 05D0867498
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- KATTY H. CHOU
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mt. San Antonio College in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
WALNUT, CA 91789
WALNUT, CA 91789
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962687269, enumerated as an "organization" on January 04, 2008.
The provider is located at 1100 N GRAND AVE 67B WALNUT, CA 91789 and the phone number is (909) 594-5611.
Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.
