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California State Polytechnic University

Student Health Clinic/Center in Pomona, CA · enumerated 2007 · authorized official Kay Vierra, Interim Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063694479

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Registry record

Entity type Organization (Type 2)
Legal business name California State Polytechnic University
Practice address 3801 W Temple Ave, Pomona, CA, 91768
Phone (909) 869-4000
Enumeration date Nov 28, 2007
Last updated in NPPES Nov 28, 2007

Taxonomy & classification

261QS1000X Student Health Clinic/Center Ambulatory Health Care Facilities · License 306630 (CA) Primary

Authorized official

Name Kay Vierra
Title Interim Director
Phone (909) 869-2760

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-28. Verify at npiregistry.cms.hhs.gov.
Where is California State Polytechnic University located?
The practice location on file with NPPES is in Pomona, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-28.