California State Polytechnic University
NPI 1063694479 · Student Health Clinic/Center · Pomona, CA
California State Polytechnic University is a Student Health Clinic/Center organization in Pomona, CA (NPI 1063694479).
Provider details
- NPI number
- 1063694479
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kay Vierra, Interim Director(909) 869-2760
- License
- 306630 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-28
Frequently asked questions
- What is California State Polytechnic University's NPI number?
- California State Polytechnic University's National Provider Identifier (NPI) is 1063694479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California State Polytechnic University?
- California State Polytechnic University is classified in the NPPES registry as Student Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is California State Polytechnic University located?
- California State Polytechnic University's practice location on file with NPPES is 3801 W Temple Ave, Pomona, CA 91768-2557.
- What is California State Polytechnic University's phone number?
- The practice phone number listed in the NPPES registry for California State Polytechnic University is (909) 869-4000.
- Who is the authorized official for California State Polytechnic University?
- The authorized official listed on California State Polytechnic University's NPPES record is Kay Vierra, Interim Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California State Polytechnic University's NPI active?
- Yes — California State Polytechnic University's NPI (1063694479) is active in the NPPES registry as of the last update on 2007-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.