CALIFORNIA STATE UNIVERSITY, LOS ANGELES STUDENT HEALTH CENTER (NPI# 1518193739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518193739 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA STATE UNIVERSITY, LOS ANGELES STUDENT HEALTH CENTER |
| Practice Address |
5151 State University Dr Student Health Center (shc) Los Angeles CA 90032-4226 |
| Practice Telephone | 3233433303 |
| Mailing Telephone | 3233433303 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | DR. MAHNOUSH MONICA JAZZABI (MEDICAL DIRECTOR - INTERIM) |
| Authorized Official Telephone | 3233433310 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
CA | Ambulatory Health Care Facilities |
| Street Address |
5151 STATE UNIVERSITY DR STUDENT HEALTH CENTER (SHC) |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90032-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120736 | Gerald Ko | Pharmacist | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2005-08-04 |
| 1154930774 | Kyle Jeng-heng Chen | Nurse Practitioner | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2020-07-29 |
| 1760914782 | California State University, Los Angeles | Chiropractor | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2017-03-29 |
| 1508233313 | Young Kim | Pharmacist | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2015-08-27 |
| 1871838417 | Rayne Dawson | Clinic/Center | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2012-12-09 |
| 1336493121 | California State University Los Angeles Student Health Center | Clinic/Center | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2012-11-01 |
| 1205184470 | Lisa Bush | Physician Assistant | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2012-08-20 |
| 1326273244 | Jeffery John Zielinski | Student in an Organized Health Care Education/Training Program | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2009-05-20 |
| 1407095144 | California State University Los Angeles Student Health Ctr. Pharmacy | Pharmacy | 5151 State University Dr, Csula Student Health Center Pharmacy, Los Angeles, CA 90032-4226 | 2009-02-19 |
| 1376781401 | Mahnoush Monica Jazzabi | Internal Medicine | 5151 State University Dr, California State University, Los Angeles, Los Angeles, CA 90032-4226 | 2009-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1063867448 | Paul Mendez | Social Worker | 4099 North Mission Rd, Los Angeles, CA 90032 | 2016-05-04 |
| 1700245297 | Diana Truong | Pharmacist | 3333 S Figueroa St Unit 3, Los Angeles, CA 90032 | 2016-02-12 |
| 1114308400 | Francis Alvin Perez | Specialist/Technologist | 5035 O'sullivan Dr., Los Angeles, CA 90032 | 2015-06-12 |
| 1417351370 | Comfort Providers Group Hospice,inc. | Hospice Care, Community Based | 4943 Renovo Street., Los Angeles, CA 90032 | 2014-10-21 |
| 1679917652 | Principles Inc. | Substance Abuse Rehabilitation Facility | 3217 N Eastern Ave, Los Angeles, CA 90032 | 2013-04-22 |
| 1679851885 | Joshua M Arellano | Physical Therapist | 3836 Hellman Ave, Los Angeles, CA 90032 | 2011-07-22 |
| 1346532322 | Brenda Ramires-torres | Counselor | 2457 Endicott Street, Los Angeles, CA 90032 | 2011-05-09 |
| 1063716561 | Lisa Erin Gold | Social Worker | 4099 N. Mission Road, Los Angeles, CA 90032 | 2010-12-27 |
| 1992013320 | Mary Luikens | Counselor | 4099 N. Misson Rd., Los Angeles, CA 90032 | 2010-09-20 |
| Find all providers in zip 90032 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1033243753 | Arthur Ashe Student Health and Wellness Center | Clinic/Center | 221 West Wood Plaza, Los Angeles, CA 90024-1703 | 2007-03-15 |
| 1003951708 | Asian Pacific Health Care Venture, Inc. | Clinic/Center | 3939 Tracy St, Los Angeles, CA 90027-3207 | 2007-02-20 |
| 1346316551 | Ucla Arthur Ashe Student Health and Wellness Center | Clinic/Center | 221 Westwood Plz, Los Angeles, CA 90095-1703 | 2006-11-28 |
| 1669084315 | Nehal N Shaikh | Clinic/Center | 1985 Zonal Ave, Los Angeles, CA 90089-5305 | 2020-08-22 |
| 1902418049 | Elaheh Sareban | Clinic/Center | 1985 Zonal Ave, Los Angeles, CA 90089-5305 | 2020-08-19 |
| 1699300384 | Bryanna Cabariti Hubbard | Clinic/Center | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-03-03 |
| 1013495431 | Kamran Hussain Imam | Clinic/Center | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2018-07-30 |
| 1669995346 | Leandra Ann Fraser | Clinic/Center | 1200 N. State St., Ipt C3f107, Los Angeles, CA 90033-1029 | 2017-07-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90032 |
Please comment or provide details below to improve the information on CALIFORNIA STATE UNIVERSITY, LOS ANGELES STUDENT HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.