CALIFORNIA STATE UNIVERSITY, NORTHRIDGE (NPI# 1942348958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942348958 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA STATE UNIVERSITY, NORTHRIDGE |
| Other Organization Name | KLOTZ STUDENT HEALTH CENTER PHARMACY |
| Practice Address |
18111 Nordhoff St Northridge CA 91330-8270 |
| Practice Telephone | 8186773666 |
| Practice Fax Number | 8186777732 |
| Mailing Telephone | 8186773671 |
| Mailing Fax Number | 8186777732 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. YOLANDA REID CHASSIAKOS (DIRECTOR, STUDENT HEALTH CENTER) |
| Authorized Official Telephone | 8186773666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHE19585 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHE195850 | 05 |
| Other Name | Type Code |
|---|---|
| Klotz Student Health Center Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154461580 | California State University, Northridge | Clinic/Center | 18111 Nordhoff St, Northridge, CA 91330-8270 | 2007-02-07 |
| Street Address |
18111 NORDHOFF ST |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91330-8270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097138 | James Steven Merrin | Internal Medicine | 18111 Nordhoff St, Northridge, CA 91330-8270 | 2005-10-19 |
| 1649886508 | Steven J Grech | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-8200 | 2020-09-16 |
| 1235747148 | Kaitlynn Michelle Wright | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-16 |
| 1194343343 | Jailene Alejandra Pina | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-13 |
| 1932727013 | Haley Nicole Tsarofski | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-06 |
| 1487271524 | Fredy Celedon | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-04 |
| 1346867868 | Daiki Sugawara | Student in an Organized Health Care Education/Training Program | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-30 |
| 1811513351 | Maria V Shibata | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-21 |
| 1487270146 | Kelly Yanover | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-18 |
| 1013533892 | Adriana Urrutia | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285122 | Marilyn Magaram Center for Food Science, Nutrition & Dietetics | Clinic/Center | 18111 Nordhoff Street, Northridge, CA 91330 | 2019-09-23 |
| 1831703453 | Habib Toubedjian | Specialist/Technologist | 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 | 2020-09-01 |
| 1568012672 | Yugandhar Ramakrishna | Audiologist | 100 Monterey Hall 18111 Nordhoff Street, Northridge, CA 91330-0001 | 2019-09-19 |
| 1013574201 | Michael Kelly Carter | Specialist/Technologist | 1811 Nordoff Street, Northridge, CA 91330-0001 | 2019-05-22 |
| 1548824469 | Youmna Haddad | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall 100, Northridge, CA 91330-0001 | 2019-04-25 |
| 1295201820 | Vickie Yu | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall Csun, Northridge, CA 91330-0001 | 2018-10-22 |
| 1275024861 | Ellie Ann Jones | Specialist/Technologist | 18411 Nordhoff St, Northridge, CA 91330-0001 | 2018-05-20 |
| 1962911867 | Heather Lauryn Gittins | Specialist/Technologist | 1811 Nordhoff Street, Northridge, CA 91330-0001 | 2017-09-22 |
| 1063921963 | John Daniel Espinoza | Specialist/Technologist | 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| 1780193680 | Naomi Shapira | Specialist/Technologist | 1811 Nordhoff Street Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| Find all providers in zip 91330 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1265953764 | Med-century Pharmacy Inc | Pharmacy | 8660 Woodley Ave Ste 101, Northridge, CA 91343-5740 | 2017-07-05 |
| 1912202607 | Devonshire Medical Pharmacy | Pharmacy | 17075 Devonshire St Ste 105, Northridge, CA 91325-5406 | 2011-01-11 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1730366584 | Market Pharmacy Inc | Pharmacy | 9250 Reseda Blvd Ste 2c, Northridge, CA 91324-5215 | 2008-01-23 |
| 1730231085 | Aurora Alcantara | Pharmacy | 8619 Reseda Blvd Ste 101a, Northridge, CA 91324-6148 | 2007-01-17 |
| 1700996303 | Costco Wholesale Corporation | Pharmacy | 8810 Tampa Ave, Northridge, CA 91324 | 2006-08-30 |
| 1720022098 | Garfield Beach Cvs LLC | Pharmacy | 8530 Reseda Blvd, Northridge, CA 91324-4628 | 2006-06-16 |
| 1942244298 | Garfield Beach Cvs LLC | Pharmacy | 9038 Balboa Blvd, Northridge, CA 91325-2610 | 2006-06-16 |
| 1356839559 | St Mary Pharmacy Inc | Pharmacy | 8254 White Oak Ave Unit 4, Northridge, CA 91325-4367 | 2018-04-24 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91330 |
Please comment or provide details below to improve the information on CALIFORNIA STATE UNIVERSITY, NORTHRIDGE.
| 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.