COMMUNITY BRIDGES (NPI# 1700098969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700098969 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES |
| Other Organization Name | LIFT LINE |
| Practice Address |
519 Main St Watsonville CA 95076-4356 |
| Mailing Address |
236 Santa Cruz Ave Aptos CA 95003-4438 |
| Practice Telephone | 8316888840 |
| Practice Fax Number | 8316888302 |
| Mailing Telephone | 8316888840 |
| Mailing Fax Number | 8316888302 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MR. RAYMON CANCINO (CEO) |
| Authorized Official Telephone | 8316888840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | MTN00367F | 01 |
| Other Name | Type Code |
|---|---|
| Lift Line | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437213725 | Community Bridges | Clinic/Center | 554 S Bellview, Mesa, AZ 85204-2504 | 2006-12-20 |
| 1962564328 | Community Bridges | Case Management | 70 Pembroke Rd, Concord, NH 03301-5753 | 2006-12-14 |
| 1922597483 | Community Bridges | Community/Behavioral Health | 519 Main St, Corralitos, CA 95076-4356 | 2018-05-09 |
| 1043656101 | Community Bridges | Clinic/Center | 100 Pioneer St Ste C, Santa Cruz, CA 95060-2181 | 2013-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY BRIDGES FOUNDATION | 229 Ne Beacon Drive, Grants Pass, OR 97526 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES INC. | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 |
| Washington State Corporations | COMMUNITY BRIDGES NORTHWEST | 19217 36th Ave W Ste 213, Lynnwood, WA 98036 |
| Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
| Street Address |
519 MAIN ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1639779796 | Med United Inc | Non-emergency Medical Transport (VAN) | 12153 Via Serrano, El Cajon, CA 92019-5022 | 2020-10-28 |
| 1639779085 | Steemmy Transit LLC | Non-emergency Medical Transport (VAN) | 5179 Lone Tree Way Ste 534, Antioch, CA 94531-8689 | 2020-10-27 |
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1871192609 | Andre Barian | Non-emergency Medical Transport (VAN) | 4448 Eagle Rock Blvd Ste G, Los Angeles, CA 90041-3512 | 2020-10-22 |
| 1356940043 | Statewide Medical Services LLC | Non-emergency Medical Transport (VAN) | 38 W Sierra Madre Blvd Ste K, Sierra Madre, CA 91024-2488 | 2020-10-22 |
| 1598364424 | Good Health Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 1009 Highway A12, Montague, CA 96064-9037 | 2020-10-21 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1669071759 | Doha Murad | Non-emergency Medical Transport (VAN) | 4862 Garden Homes Pl, Elk Grove, CA 95758-9516 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on COMMUNITY BRIDGES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.