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

California Polytechnic State University at San Luis Obispo

Organization Student Health Clinic/Center · NPI 1720140288

California Polytechnic State University at San Luis Obispo is a Student Health Clinic/Center in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1 Grand Ave
San Luis Obispo, CA 93407-9000
Phone: (805) 756-1211
Show map & directions

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

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X · Licence RN 348161 (CA)

Record details

NPI number1720140288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Hadaway-Mellis — Avp For Student Affairs Health · (805) 756-5206
NPI enumeratedDecember 14, 2006
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address1 Grand Ave, San Luis Obispo, CA 93407-9000