NPIMap

Organization Active NPI

College Community Services

Doing business as Clarvida

  • Community/Behavioral Health Agency
  • Ridgecrest, CA
National Provider Identifier
1043025158
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLLEGE COMMUNITY SERVICES
Doing business as
Clarvida
Practice address
1400 N Norma St Ste 123-133
Ridgecrest, CA 93555-2575
Phone
(651) 505-5614
NPI assigned
Feb 7, 2025
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLLEGE COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Ginter, MBA, CBCA
Title
Director of State Operations
Phone
(657) 465-9497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1400 N Norma St Ste 123-133
Ridgecrest, CA 93555-2575

Mailing address

8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957
Phone (562) 467-5440

Other names 1

  • Clarvida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
College Community Servi22 organizations share this tax ID, including this one
Part of
College Community Servi

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1400 N Norma St
Ste 127133
Ridgecrest, CA 93555
Phone (760) 499-7406

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1043025158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-467-5440",
            "fax_number": "562-467-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 123-133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552575",
            "telephone_number": "651-505-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLEGE COMMUNITY SERVICES",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "GINTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF STATE OPERATIONS",
        "authorized_official_telephone_number": "657-465-9497",
        "authorized_official_credential": "MBA, CBCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.