CALIFORNIA STATE UNIVERSITY EAST BAY – NPI #1366422776
Clinic/Center

CALIFORNIA STATE UNIVERSITY EAST BAY is an AHC clinic located in HAYWARD, CA. NPPES has assigned the NPI number 1366422776 to CALIFORNIA STATE UNIVERSITY EAST BAY on January 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 18 years ago on Jul 29, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA STATE UNIVERSITY EAST BAY below.

NPI Profile for
CALIFORNIA STATE UNIVERSITY EAST BAY

NPI Number
1366422776
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALIFORNIA STATE UNIVERSITY EAST BAY
Primary location
25800 CARLOS BEE BLVD
HAYWARD, CA 94542
Phone: (510) 885-3735 Fax: (510) 885-3230
Mailing address
Same as primary location
Organization Subpart
Yes - CALIFORNIA STATE UNIVERSITY EAST BAY is subpart of another organization.
Authorized Official
CATHLEEN COULMAN
EXECUTIVE DIRECTOR STUDENT HEALTH S
Phone: (510) 885-3639
Updated
Identifiers

Identifiers for CALIFORNIA STATE UNIVERSITY EAST BAY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0089820
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.