NPIMap

Organization Active NPI

Student Health Service, California State University Chico

  • Student in an Organized Health Care Education/Training Program
  • Chico, CA
National Provider Identifier
1013253822
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
CLE 2073 Issued in CA
Legal business name
STUDENT HEALTH SERVICE, CALIFORNIA STATE UNIVERSITY CHICO
Practice address
601 Warner STR Medical Clinic Foor 1
Chico, CA 95929-0777
Phone
(530) 898-5241
Fax
(530) 898-4057
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anel Anderson
Title
Pharmacist in Charge
Phone
(530) 898-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X CLE 2073 CA Primary

Addresses

Primary practice location

601 Warner STR Medical Clinic Foor 1
Chico, CA 95929-0777

Mailing address

400 W 1St St
Chico, CA 95929-0777
Phone (530) 898-3044

Other names 2

  • WellCat Health Center Doing business as
  • California state university Health center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
California State University Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 Warner Str Medical Clinic Foor 1
Chico, CA 95929
Phone (530) 898-5241

1205 W 7th St
Chico, CA 95928

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1013253822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 1ST ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-3044",
            "fax_number": "530-898-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WARNER STR MEDICAL CLINIC FOOR 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-5241",
            "fax_number": "530-898-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICE, CALIFORNIA STATE UNIVERSITY CHICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "530-898-3044"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "CLE 2073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCat Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California state university Health center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.