California Polytechnic State University at San Luis Obispo
NPI 1720140288 · Student Health Clinic/Center · San Luis Obispo, CA
California Polytechnic State University at San Luis Obispo is a Student Health Clinic/Center organization in San Luis Obispo, CA (NPI 1720140288).
Provider details
- NPI number
- 1720140288
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Hadaway-Mellis, Avp for Student Affairs Health(805) 756-5206
- License
- RN 348161 (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
19 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
- 2006-12-14
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is California Polytechnic State University at San Luis Obispo's NPI number?
- California Polytechnic State University at San Luis Obispo's National Provider Identifier (NPI) is 1720140288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California Polytechnic State University at San Luis Obispo?
- California Polytechnic State University at San Luis Obispo is classified in the NPPES registry as Student Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is California Polytechnic State University at San Luis Obispo located?
- California Polytechnic State University at San Luis Obispo's practice location on file with NPPES is 1 Grand Ave, San Luis Obispo, CA 93407-9000.
- What is California Polytechnic State University at San Luis Obispo's phone number?
- The practice phone number listed in the NPPES registry for California Polytechnic State University at San Luis Obispo is (805) 756-1211.
- Who is the authorized official for California Polytechnic State University at San Luis Obispo?
- The authorized official listed on California Polytechnic State University at San Luis Obispo's NPPES record is Tina Hadaway-Mellis, Avp for Student Affairs Health. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California Polytechnic State University at San Luis Obispo's NPI active?
- Yes — California Polytechnic State University at San Luis Obispo's NPI (1720140288) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.