OrganizationActive
Azusa Pacific University
NPI 1104002146 · Community/Behavioral Health Agency · Azusa, CA
Azusa Pacific University is a Community/Behavioral Health Agency organization in Azusa, CA (NPI 1104002146).
Provider details
- NPI number
- 1104002146
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mark Dickerson, Vice President(626) 387-5763
Specialties & taxonomies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Detailed profile(88/100 index)
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
918 E Alosta Ave
Azusa, CA 91702-2709
Phone: (626) 815-5421
Approximate (ZIP-level) locationGet directions
Mailing address
901 E Alosta Ave
Azusa, CA 91702-2701
Registry dates
- Enumerated
- 2008-01-19
- Last updated
- 2008-01-19
Frequently asked questions
- What is Azusa Pacific University's NPI number?
- Azusa Pacific University's National Provider Identifier (NPI) is 1104002146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Azusa Pacific University?
- Azusa Pacific University is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Azusa Pacific University located?
- Azusa Pacific University's practice location on file with NPPES is 918 E Alosta Ave, Azusa, CA 91702-2709.
- What is Azusa Pacific University's phone number?
- The practice phone number listed in the NPPES registry for Azusa Pacific University is (626) 815-5421.
- Who is the authorized official for Azusa Pacific University?
- The authorized official listed on Azusa Pacific University's NPPES record is Mark Dickerson, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Azusa Pacific University's NPI active?
- Yes — Azusa Pacific University's NPI (1104002146) is active in the NPPES registry as of the last update on 2008-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.