NPIMap

Organization Active NPI

California State University, Northridge, Klotz Student Health Center

  • Student Health Clinic/Center
  • Northridge, CA
National Provider Identifier
1902813744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
GOVERNMENT ENTITY Issued in CA
Legal business name
CALIFORNIA STATE UNIVERSITY, NORTHRIDGE, KLOTZ STUDENT HEALTH CENTER
Practice address
18111 Nordhoff St
Northridge, CA 91330-8270
Phone
(818) 677-3666
Fax
(818) 677-5225
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Yolanda Reid Chassiakos, M.D.
Title
Director, Student Health Center
Phone
(818) 677-3666

Specialties & licenses 1

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

Addresses

Primary practice location

18111 Nordhoff St
Northridge, CA 91330-8270

Mailing address

18111 Nordhoff St
Northridge, CA 91330-8270
Phone (818) 677-3666

Other identifiers 1

IdentifierTypeStateIssuer
GR0094830OtherCAMEDI-CAL/FPACT

National Provider Directory

National Provider Directory
Tax ID family
California State University Northridge Klotz Student Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902813744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308270",
            "telephone_number": "818-677-3666",
            "fax_number": "818-677-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308270",
            "telephone_number": "818-677-3666",
            "fax_number": "818-677-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY, NORTHRIDGE, KLOTZ STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASSIAKOS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "DIRECTOR, STUDENT HEALTH CENTER",
        "authorized_official_telephone_number": "818-677-3666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "GOVERNMENT ENTITY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL/FPACT",
            "identifier": "GR0094830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.