COLLEGE COMMUNITY SERVICES (NPI# 1750831889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750831889 |
| Entity Type | Organization |
| Organization Name | COLLEGE COMMUNITY SERVICES |
| Other Organization Name | WELLNESS CENTER |
| Practice Address |
401 S Tustin St Building #c Orange CA 92866-2550 |
| Practice Telephone | 7143614860 |
| Mailing Telephone | 7143614860 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
| Authorized Official Telephone | 7145036880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1730391376 | College Community Services | Community/Behavioral Health | 29341 Kimberlina Rd Ste 102, Wasco, CA 93280-7617 | 2007-05-04 |
| 1528197662 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 116, Santa Ana, CA 92705 | 2007-03-05 |
| 1235274804 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 200&205, Santa Ana, CA 92705-3916 | 2007-02-21 |
| 1841335692 | College Community Services | Community/Behavioral Health | 11277 Garden Grove Blvd Ste 100, Garden Grove, CA 92843-1340 | 2007-02-20 |
| 1790256766 | College Community Services | Community/Behavioral Health | 928 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1336610302 | College Community Services | Community/Behavioral Health | 930 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1083185136 | College Community Services | Community/Behavioral Health | 2821 H St, Bakersfield, CA 93301-1913 | 2018-12-16 |
| 1144578816 | College Community Services | Community/Behavioral Health | 13950 Milton Ave, Suite 306, Westminster, CA 92683-2900 | 2012-08-28 |
| 1689934440 | College Community Services | Community/Behavioral Health | 401 S Tustin St, Orange, CA 92866-2503 | 2012-05-25 |
| Street Address |
401 S TUSTIN ST BUILDING #C |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407056880 | Lily Thanh Hoang | Community Based Residential Treatment Facility, Mental Illness | 401 S Tustin St, Bldg. D, Orange, CA 92866-2550 | 2007-07-23 |
| 1992348767 | Janice Jones | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2019-10-23 |
| 1922578590 | Kenya Denise Bradley | Peer Specialist | 401 S Tustin St, Orange, CA 92866 | 2018-11-27 |
| 1467920561 | Jason Stentz | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-11-06 |
| 1669959292 | Orlando Vera | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-07-26 |
| 1447745088 | Antoine Jackson | Counselor | 401 S Tustin St, Orange, CA 92866-2550 | 2018-06-26 |
| 1790286797 | Jesus Torres Jr. | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-02-24 |
| 1962903971 | Matthew Taylor | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-02-24 |
| 1114466331 | Maritza Meza | Counselor | 401 S Tustin St, Building D, Orange, CA 92866-2550 | 2017-02-21 |
| 1962951913 | Alvaro Sosa | Counselor | 401 S Tustin St, Bldg. D, Orange, CA 92866-2550 | 2016-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061927 | Neighbours-inc | Community/Behavioral Health | 412 S Valley Rd Fl 2, Orange, NJ 07050-1323 | 2019-09-04 |
| 1518446905 | Alan Lawrence | Community/Behavioral Health | 339 Park Ave Apt 3e, Orange, NJ 07050-2867 | 2018-08-07 |
| 1851879688 | Jasmin Bahena | Community/Behavioral Health | 817 W Westway Ave, Orange, CA 92865-2533 | 2018-08-02 |
| 1891273223 | Berlyn Gasporra | Community/Behavioral Health | 270 W Sparkleberry Ave, Orange, CA 92865-5012 | 2018-07-28 |
| 1801244876 | Urban Truth LLC | Community/Behavioral Health | 402 Valley St, Orange, NJ 07050-1321 | 2016-05-31 |
| 1679953319 | Serenity Living Inc | Community/Behavioral Health | 29 William St, 1st Floor, Orange, NJ 07050-4010 | 2015-06-08 |
| 1245675818 | Acm, Inc. | Community/Behavioral Health | 265 S Anita Dr Ste 117, Orange, CA 92868-3341 | 2013-05-08 |
| 1073863056 | Illumination Foundation | Community/Behavioral Health | 1091 N Batavia St, Orange, CA 92867 | 2012-09-17 |
| 1598054728 | Recovery Innovations Inc | Community/Behavioral Health | 171 S Anita Dr, Suite 100, Orange, CA 92868-3319 | 2011-03-28 |
| 1124201462 | Cross Counter, Inc | Community/Behavioral Health | 399 Heywood Ave, Orange, NJ 07050-2006 | 2007-12-10 |
| Find all providers in ORANGE | ||||
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| 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.