CALIFORNIA STATE UNIVERSITY STANISLAUS (NPI# 1528195393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528195393 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA STATE UNIVERSITY STANISLAUS |
| Practice Address |
1 University Cir Turlock CA 95382-3200 |
| Practice Telephone | 2096673396 |
| Practice Fax Number | 2096673195 |
| Mailing Telephone | 2096673396 |
| Mailing Fax Number | 2096673195 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | DR. SCOTT HENNES (STUDENT HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 2096673396 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHE19595 | CA | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CLE1147 | CA | Suppliers |
| Street Address |
1 UNIVERSITY CIR |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093074 | Denise Palecek | Registered Nurse | 1 University Cir, Building 29, Turlock, CA 95382-3200 | 2020-08-11 |
| 1407330384 | Amy A Diaz | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2018-09-18 |
| 1306355839 | Jasmine Samra | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2017-09-27 |
| 1023527553 | Laura Ann Roberts | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2017-09-27 |
| 1356721880 | Jessica Lambert | Psychologist | 1 University Cir, Bizzini Hall 230, Turlock, CA 95382-3200 | 2015-05-29 |
| 1720353154 | Amie Gail Postma | Nurse Practitioner | 1 University Cir, Turlock, CA 95382-3200 | 2012-03-19 |
| 1578881520 | Lita Marie Worthington | Nurse Practitioner | 1 University Cir, Student Health Center, Turlock, CA 95382-3200 | 2010-05-13 |
| 1417189846 | Stephen Thomas Black | Psychologist | 1 University Cir, Csu Stanislaus, Turlock, CA 95382-3200 | 2009-08-18 |
| 1437389905 | Valerie Lester Leyva | Social Worker | 1 University Cir, Csu Stan Social Work, Turlock, CA 95382-3200 | 2009-07-19 |
| 1508053463 | Angelica Delgadillo Perez | Physician Assistant | 1 University Cir, Csu Stanislaus, Student Health Center, Turlock, CA 95382-3200 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
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| 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.