Student Health Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STUDENT HEALTH SERVICES

Practice address

3801 W Temple Ave
Building #46
Pomona, CA 91768-2557

Phone

(909) 869-4000

Fax

(909) 869-4561

NPI assigned

Sep 27, 2007

Organization subpart

Yes

Parent organization

CALIFORNIA STATE POLYTECHNIC UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Ms. Kay Vierra, RN

Title

Director

Phone

(909) 869-4000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

California State Polytechnic University2 organizations share this tax ID, including this one

Part of

California State Polytechnic University

Other organizations with this tax ID 1

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

• California State Polytechnic University

  • Student Health Clinic/Center
  • Pomona, CA
  • NPI 1063694479
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katty Chou

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1023297934
  NPD (past)
• Leslie A. Tyska, M.D.

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1871782037
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1932396512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W TEMPLE AVE",
            "address_2": "BUILDING #46",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682557",
            "telephone_number": "909-869-4000",
            "fax_number": "909-869-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W TEMPLE AVE",
            "address_2": "BUILDING #46",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682557",
            "telephone_number": "909-869-4000",
            "fax_number": "909-869-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA STATE POLYTECHNIC UNIVERSITY",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "VIERRA",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-869-4000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J Strong, H.D.
• Frank R Strong
• Cheyenne Strother
• Sophia Jolie Strukel
• Stuart L Zubrick Marriage Family and Child Counseling, a Prof Corp
• Shane Stump
• Su Dentista de Confianza Dental Office
• Hernando Suarez Ayora, DDS
• Eder Suarez
• Marshae Suarez

• Health Service Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.