OrganizationActive
Student Health Services
NPI 1932396512 · Health Service Clinic/Center · Pomona, CA
Provider details
- NPI number
- 1932396512
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- California State Polytechnic University
- Organization subpart
- Yes
- Authorized official
- Kay Vierra, Director(909) 869-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
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
3801 W Temple Ave
Building #46
Pomona, CA 91768-2557
Phone: (909) 869-4000
Fax: (909) 869-4561
Street-level locationGet directions
Mailing address
3801 W Temple Ave
Pomona, CA 91768-2557
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2007-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.