OrganizationActive
Student
NPI 1174079347 · Physician Assistant · Redlands, CA
Student is a Physician Assistant organization in Redlands, CA (NPI 1174079347).
Provider details
- NPI number
- 1174079347
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cullen Mack, Student(951) 756-8989
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1640 Juanita Ln
Redlands, CA 92373-7142
Phone: (951) 756-8989
Street-level locationGet directions
Mailing address
1640 Juanita Ln
Redlands, CA 92373-7142
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Frequently asked questions
- What is Student's NPI number?
- Student's National Provider Identifier (NPI) is 1174079347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Student?
- Student is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Student located?
- Student's practice location on file with NPPES is 1640 Juanita Ln, Redlands, CA 92373-7142.
- What is Student's phone number?
- The practice phone number listed in the NPPES registry for Student is (951) 756-8989.
- Who is the authorized official for Student?
- The authorized official listed on Student's NPPES record is Cullen Mack, Student. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Student's NPI active?
- Yes — Student's NPI (1174079347) is active in the NPPES registry as of the last update on 2016-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.