California Northstate University

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CALIFORNIA NORTHSTATE UNIVERSITY

Practice address

9700 West Taron Dr
Elk Grove, CA 95757

Phone

(916) 686-8975

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alvin Cheung, PHARMD, MHSA

Title

President & Ceo

Phone

(916) 686-8975

Specialties & licenses 1

Addresses

Tax ID family

California Northstate University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California Northstate University

  • Health Service Clinic/Center
  • Elk Grove, CA
  • NPI 1396318887
  NPD tax ID

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1073184651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 WEST TARON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "916-686-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 WEST TARON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "916-686-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NORTHSTATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "916-686-8975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, MHSA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Calderon
• Shachrista Caldwell
• California Correctional Health Care Services
• California Hospitalist Physicians Inc
• California Minute Clinic Inc
• California Northstate University
• California Northstate University, College of Medicine
• California Sleep Solutions
• California Sleep Solutions
• California Wound Care Institute Inc

• Health Service Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.