Organization Active NPI

San Luis Obispo County Community College District

  • Student Health Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1407616402
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICT
Practice address
Highway 1
San Luis Obispo, CA 93405
Phone
(805) 546-3171
Fax
(180) 554-6322
NPI assigned
Mar 19, 2024
Organization subpart
Yes
Parent organization
SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Daniel Troy
Title
VP Adminstrative Services
Phone
(805) 546-3120

Specialties & licenses 2

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

Addresses

Primary practice location

Highway 1
San Luis Obispo, CA 93405

Mailing address

PO Box 8106
San Luis Obispo, CA 93403-8106
Phone (805) 546-3171

Other names 1

  • Cuesta College Doing business as

National Provider Directory

National Provider Directory
Part of
San Luis Obispo County Community College District

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1407616402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8106",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934038106",
            "telephone_number": "805-546-3171",
            "fax_number": "180-554-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93405",
            "telephone_number": "805-546-3171",
            "fax_number": "180-554-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP ADMINSTRATIVE SERVICES",
        "authorized_official_telephone_number": "805-546-3120"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuesta College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.