Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

California Polytechnic State University at San Luis Obispo

Student Health Clinic/Center in San Luis Obispo, CA · enumerated 2006 · authorized official Tina Hadaway-Mellis, Avp for Student Affairs Health.

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

National Provider Identifier

1720140288

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Registry record

Entity type Organization (Type 2)

Legal business name California Polytechnic State University at San Luis Obispo

Practice address 1 Grand Ave, San Luis Obispo, CA, 93407

Phone (805) 756-1211

Enumeration date Dec 14, 2006

Last updated in NPPES Mar 24, 2026

Taxonomy & classification

261QS1000X Student Health Clinic/Center Ambulatory Health Care Facilities · License RN 348161 (CA) Primary

Authorized official

Name Tina Hadaway-Mellis

Title Avp for Student Affairs Health

Phone (805) 756-5206

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for California Polytechnic State University at San Luis Obispo?

The NPI for California Polytechnic State University at San Luis Obispo is 1720140288, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for California Polytechnic State University at San Luis Obispo?

NPPES lists Tina Hadaway-Mellis (Avp for Student Affairs Health) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-24.