Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO
Active
Organization
CALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA HADAWAY-MELLIS (AVP FOR STUDENT AFFAIRS HEALTH)
(805) 756-5206
Entity
Organization
Contact information
Practice address
1 GRAND AVE, SAN LUIS OBISPO, CA 93407-9000
(805) 756-1211
Mailing address
1 GRAND AVE, SAN LUIS OBISPO, CA 93407-9000
(805) 756-1211
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
RN 348161
CA
Other
Enumeration date
12/14/2006
Last updated
09/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up