Cal Poly Health Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

397046 Issued in CA

Legal business name

CAL POLY HEALTH SERVICES

Practice address

1 Grand Ave Building 27
Cal Poly State University
San Luis Obispo, CA 93407-0000

Phone

(805) 756-1211

Fax

(805) 756-5298

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Martin E. Bragg, PHD

Title

Director Health and Counseling Serv

Phone

(805) 756-5278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1447435912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE BUILDING 27",
            "address_2": "CAL POLY STATE UNIVERSITY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934070000",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE BUILDING 27",
            "address_2": "CAL POLY STATE UNIVERSITY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934070000",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL POLY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR HEALTH AND COUNSELING SERV",
        "authorized_official_telephone_number": "805-756-5278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "397046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia J Cadwallader, L.AC.
• Emma Perry Cadwallader, RPT
• Patrick Michael Cady, R.N.
• Nicholas Manes Caggiano, MD
• Scott William Cahill I
• Jovanna Renee Cala Vella
• Christina Calabrese, MD
• Angela Grace Calabria
• Cynthia Caldeira, MFTI
• Guillemette Calderwood

• Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.