California State University, Fullerton

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

CALIFORNIA STATE UNIVERSITY, FULLERTON

Practice address

800 N State College Blvd
Student Health & Counseling Center
Fullerton, CA 92831-3547

Phone

(714) 278-2821

Fax

(714) 278-5525

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Wang, PH.D

Title

Acting Executive Director

Phone

(714) 278-2821

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Student Health & Counseling Center Other name

Tax ID family

California State University Fullerton3 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.

• Cal State University Fullerton

  • Health Service Clinic/Center
  • Fullerton, CA
  • NPI 1013121961
  NPD tax ID
• California State University Fullerton

  • Community/Retail Pharmacy
  • Fullerton, CA
  • NPI 1730194366
  NPD tax ID

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992850515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N STATE COLLEGE BLVD",
            "address_2": "STUDENT HEALTH & COUNSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313547",
            "telephone_number": "714-278-2821",
            "fax_number": "714-278-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N STATE COLLEGE BLVD",
            "address_2": "STUDENT HEALTH & COUNSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313547",
            "telephone_number": "714-278-2821",
            "fax_number": "714-278-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY, FULLERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-278-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health & Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• California Access Inc
• California Anesthesia Group PC
• California Evaluation and Psychotherapy Center, Inc.
• California Pain Relief Group PC
• California State University Fullerton
• Californias Best Home Health Services, Inc
• Californias Best Hospice Services Inc.
• Call4Care Caregiving Services
• Kristine Callahan
• Laurie Ellen Callaway

• Student Health Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Student Health Clinic/Center in California

• 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.