SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI 1083715890
Clinic/Center in San Diego, CA

NPI Status: Active since September 26, 2006

Contact Information

5500 CAMPANILE DR
SAN DIEGO, CA
ZIP 92182
Phone: (619) 594-4325
Fax: (619) 594-4260

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  • Organization
  • Clinic/Center

About SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for San Diego State University Student Health Services, a provider established in San Diego, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1083715890 assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is David Burns (Associate Vice President)

NPI
1083715890
Provider Name
SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Entity Type
Organization
Location Address
5500 CAMPANILE DR SAN DIEGO, CA 92182
Location Phone
(619) 594-4325
Location Fax
(619) 594-4260
Mailing Address
5500 CAMPANILE DR SAN DIEGO, CA 92182
Mailing Phone
(619) 594-4325
Mailing Fax
(619) 594-4260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
01-02-2008
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID BURNS

Authorized Official Title
ASSOCIATE VICE PRESIDENT
Authorized Official Phone
(619) 594-6018

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
EXE70109FMEDICAID (05)CA 

Reviews for SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES

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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.
1083715890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016314110818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 4 + 1 + 1 + 0 + 8 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083715890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649206269 DENISE ANN WIKSTEN PHD, ATC
Individual
Specialist/Technologist (Athletic Trainer)5500 CAMPANILE DR DEPT. OF EXERCISE & NUTRITIONAL SCIENCES
SAN DIEGO, CA 92182
(619) 594-6825
1447324405MS. TERESA RENEE BERTINO NP
Individual
Nurse Practitioner (Adult Health)5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-6681
1710016837 MARTIN GREENBERG
Individual
Psychiatry & Neurology (Psychiatry)5500 CAMPANILE DR STUDENT HEALTH-SDSU
SAN DIEGO, CA 92182
(619) 594-7316
1598880577DR. GREGG ALAN LICHTENSTEIN M.D.
Individual
Family Medicine (Adult Medicine)5500 CAMPANILE DR STUDENT HEALTH SERVICES SAN DIEGO STATE UNIVERSITY
SAN DIEGO, CA 92182
(619) 594-5281
1275733115 SUE ANN HADLEY APRN
Individual
Nurse Practitioner5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-2770
1417145103 CAROL A BOYLE NP
Individual
Nurse Practitioner (Family)5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-6681
1205024445MS. JILL MARIE DAVIS-PRICKETT NP
Individual
Nurse Practitioner (Family)5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-6681
1568651495 DEBORAH BALL FNP
Individual
Nurse Practitioner (Family)5500 CAMPANILE DR SAN DIEGO STATE UNIVERSITY
SAN DIEGO, CA 92182
(619) 594-6681
1902095219MS. CAROLYN MARIE LAWSON FNP
Individual
Nurse Practitioner (Family)5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-5281
1255511143MS. DEBORAH ANN LOEHR NURSE PRACTITIONER
Individual
Nurse Practitioner5500 CAMPANILE DR STUDENT HEALTH SERVICES SDSU
SAN DIEGO, CA 92182
(619) 594-7330
1518147404 RORY KREGG BRENING M.D.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-6681
1457532954DR. REGINA THERESA MIRSKI MD
Individual
Internal Medicine5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-5281
1285817924 MARYELLEN BOCZAR GREEN F.N.P.
Individual
Student in an Organized Health Care Education/Training Program5500 CAMPANILE DR SDSU STUDENT HEALTH SERVICES
SAN DIEGO, CA 92182
(619) 594-5281
1629252234DR. CYNTHIA MARY CORNELIUS MD
Individual
Family Medicine5500 CAMPANILE DR SDSU STUDENT HEALTH SERVICES
SAN DIEGO, CA 92182
(619) 594-6681
1174708671DR. LAURA JOSEPHINE FRASSINELLI MD
Individual
Internal Medicine5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-5281
1114102241 GREG GASTALDO M.D.
Individual
Clinic/Center5500 CAMPANILE DR
SAN DIEGO, CA 92182
(619) 594-2866
1053560961 SHERRIE JACOBY NP
Individual
Clinic/Center (Health Service)5500 CAMPANILE DR STUDENT HEALTH CENTER
SAN DIEGO, CA 92182
(619) 594-2866
1679722458 JUDY PATTINSON
Individual
Clinical Nurse Specialist (School)5500 CAMPANILE DR STUDENT HEALTH CENTER
SAN DIEGO, CA 92182
(619) 594-2866
1851530117 THOMAS MCGRATH MD
Individual
Student in an Organized Health Care Education/Training Program5500 CAMPANILE DR STUDENT HEALTH SERVICES
SAN DIEGO, CA 92182
(619) 594-2866
1902138662 NICOLE BLANCHFLOWER MA, ATC
Individual
Specialist5500 CAMPANILE DR SAN DIEGO STATE UNIVERSITY-DEPT OF ATHLETICS
SAN DIEGO, CA 92182
(619) 594-8371

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083715890, enumerated in the NPI registry as an "organization" on September 26, 2006

The provider is located at 5500 Campanile Dr San Diego, Ca 92182 and the phone number is (619) 594-4325

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 26, 2006. 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.