NPIMap

Organization Active NPI

California State Polytechnic University, Humboldt

  • Student Health Clinic/Center
  • Arcata, CA
National Provider Identifier
1104991744
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
Practice address
1 Harpst St
Building 42
Arcata, CA 95521-8222
Phone
(707) 826-5019
Fax
(707) 826-5042
NPI assigned
Nov 21, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. Jennifer Lianne Sanford, PHDNPI 1275452849
Title
Executive Director, SHWS
Phone
(707) 826-3146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X CA Primary

Addresses

Primary practice location

1 Harpst St
Building 42
Arcata, CA 95521-8222

Mailing address

1 Harpst St
Student Health Center
Arcata, CA 95521-8222
Phone (707) 826-5731

Other names 1

  • Student Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
California State Polytechnic University Humboldt2 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.

Locations

1 Harpst St
Bldg 42
Arcata, CA 95521
Phone (707) 826-3146

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1104991744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARPST ST",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218222",
            "telephone_number": "707-826-5731",
            "fax_number": "707-826-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARPST ST",
            "address_2": "BUILDING 42",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218222",
            "telephone_number": "707-826-5019",
            "fax_number": "707-826-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, SHWS",
        "authorized_official_telephone_number": "707-826-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.