PEPPERDINE UNIVERSITY
NPI 1043867971
Clinic/Center - Student Health in Malibu, CA

NPI Status: Active since August 26, 2019

Contact Information

24255 PACIFIC COAST HWY
MALIBU, CA
ZIP 90263
Phone: (310) 506-4316

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 05D0876039
  • CLIA Cert. Type: Other - UNIVERSITY STUDENT HEALTH
  • CLIA Exp. Date: 09-30-2026

About PEPPERDINE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Pepperdine University, a primary care provider established in Malibu, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1043867971 assigned on August 2019. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Nicole Mariko Elby Pt, Dpt, Scs, Atc (Rehabilitation Coordinator)

NPI
1043867971
Provider Name
PEPPERDINE UNIVERSITY
Entity Type
Organization
Location Address
24255 PACIFIC COAST HWY MALIBU, CA 90263
Location Phone
(310) 506-4316
Mailing Address
24255 PACIFIC COAST HWY MALIBU, CA 90263
Mailing Phone
(310) 506-4316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2019
Last Update Date
08-26-2019
Code Navigator

A primary care provider (PCP) like Pepperdine University sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE MARIKO ELBY PT, DPT, SCS, ATC

Authorized Official Title
REHABILITATION COORDINATOR
Authorized Official Phone
(310) 506-4169

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0876039
Facility Type
Other - UNIVERSITY STUDENT HEALTH
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
DR. LUCY K. LARSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pepperdine University to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEPPERDINE UNIVERSITY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043867971
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208316614914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 6 + 6 + 1 + 4 + 9 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1043867971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386686277MR. KEVIN ALLEN WRIGHT ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY PEPPERDINE UNIVERSITY ATHLETICS
MALIBU, CA 90263
(310) 506-4169
1174639355 NICOLE DENISE BULICK ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4169
1437257821MR. FRANK JOHN SHEARER MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY DEPARTMENT OF ATHLETICS, PEPPERDINE UNIVERSITY
MALIBU, CA 90263
(310) 506-4602
1366572588 BARBARA STERN R.N.
Individual
Registered Nurse (College Health)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1295865160MS. LUCY KAISER LARSON M.D.
Individual
Pediatrics24255 PACIFIC COAST HWY PEPPERDINE STUDENT HEALTH CENTER
MALIBU, CA 90263
(310) 506-4316
1073647640 NANCY SAFINICK P.A.
Individual
Physician Assistant24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1518082544 GELIANN KITSIGIANIS M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1255547667DR. KATHLEEN ELDRIDGE PHD
Individual
Psychologist (Clinical)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-8559
1649661661PEPPERDINE UNIVERSITY
Organization
Chiropractor (Sports Physician)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4602
1063967016 KATHERINE SNIFFEN ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY ATHLETIC DEPARTMENT
MALIBU, CA 90263
(310) 506-4169
1346301868 JANE GYU YOUNG TSANG MA COUNSELING
Individual
Counselor (Mental Health)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4210
1275186025 KARISSA ANN SCHERER MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4961
1104431451 ALEX JASON VANDER VORSTE MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA 90263
(310) 506-4169
1861917577 NICOLE MARIKO ELBY LEE PT,DPT,SCS,ATC,CSCS
Individual
Physical Therapist (Sports)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4000
1235816695 ANNIE PLUMB LAT, ATC, MS
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(402) 517-8488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043867971, enumerated in the NPI registry as an "organization" on August 26, 2019

The provider is located at 24255 Pacific Coast Hwy Malibu, Ca 90263 and the phone number is (310) 506-4316

This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health

The provider's CLIA number is 05D0876039 for a "other - university student health" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.