NPIMap

Organization Active NPI

Chabot-Las Positas Community College District

Doing business as Chabot College, Student Health Center

  • Student Health Clinic/Center
  • Hayward, CA
National Provider Identifier
1083136899
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
Doing business as
Chabot College, Student Health Center
Practice address
25555 Hesperian Blvd
Hayward, CA 94545-2447
Phone
(510) 723-7625
Fax
(510) 723-7129
NPI assigned
Jul 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rosafel R. Adriano-Nogra, NP
Title
Director/Nurse Practitioner
Phone
(510) 723-7625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary
Local Education Agency (LEA) 251300000X NU

Addresses

Primary practice location

25555 Hesperian Blvd
Hayward, CA 94545-2447

Mailing address

25555 Hesperian Blvd
Building 2300 Room 2315
Hayward, CA 94545-2447
Phone (510) 723-7625

Other names 2

  • Chabot College, Student Health Center Doing business as
  • Student Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Chabot-Las Positas Community College District2 organizations share this tax ID, including this one
Part of
Chabot-Las Positas Community College District

Other organizations with this tax ID 1

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

Locations

25555 Hesperian Blvd
Hayward, CA 94545
Phone (510) 723-7625

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083136899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25555 HESPERIAN BLVD",
            "address_2": "BUILDING 2300 ROOM 2315",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452447",
            "telephone_number": "510-723-7625",
            "fax_number": "510-723-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25555 HESPERIAN BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452447",
            "telephone_number": "510-723-7625",
            "fax_number": "510-723-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "ADRIANO-NOGRA",
        "authorized_official_first_name": "ROSAFEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "510-723-7625",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chabot College, Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Student Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.