Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

California Polytechnic State University

Organization Athletic Trainer · NPI 1558485896

California Polytechnic State University is an Athletic Trainer in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1 Grand Ave
San Luis Obispo, CA 93407-9000
Phone: (805) 756-5491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1558485896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Eggen — Assistant Athletic Trainer · (805) 756-5491
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address13020 Atascadero Rd, Atascadero, CA 93422-5902

Other providers in San Luis Obispo