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California Polytechnic State University

NPI 1558485896ActiveOrganization· Specialist/Technologist, Athletic Trainer· San Luis Obispo, CA

Specialist/Technologist, Athletic Trainer in San Luis Obispo, California, registered in NPPES in March 2007. The authorized official on file is James Matthew Eggen, ATC, Assistant Athletic Trainer.

Overview

NPI1558485896
StatusActive
Entity typeOrganization
NPI issuedMar 19, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300X—CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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