Organization Active NPI

Student Health Center

  • Student Health Clinic/Center
  • Irvine, CA
National Provider Identifier
1710180989
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
Y326259 Issued in CA
Legal business name
STUDENT HEALTH CENTER
Practice address
501 Student Health
Irvine, CA 92697-5200
Phone
(949) 824-5940
Fax
(949) 824-1378
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Mr. John Patrick Haines, MBA, CMPE
Title
Executive Director
Phone
(949) 824-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Y326259 CA Primary

Addresses

Primary practice location

501 Student Health
Irvine, CA 92697-5200

Mailing address

501 Student Health
Irvine, CA 92697
Phone (949) 824-7010

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

501 Student Health
Irvine, CA 92697
Phone (949) 824-5301

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1710180989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STUDENT HEALTH",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92697",
            "telephone_number": "949-824-7010",
            "fax_number": "949-824-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STUDENT HEALTH",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926975200",
            "telephone_number": "949-824-5940",
            "fax_number": "949-824-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-824-9416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, CMPE"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "Y326259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.