NPIMap

Organization Active NPI

Community Bridges

  • Adult Day Care Clinic/Center
  • Watsonville, CA
National Provider Identifier
1043656101
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
COMMUNITY BRIDGES
Practice address
501 Main Street
Watsonville, CA 95076-4376
Phone
(831) 458-3481
Fax
(831) 458-2945
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Mr. Raymon Cancino
Title
Chief Executive Officer
Phone
(831) 688-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

501 Main Street
Watsonville, CA 95076-4376

Mailing address

519 Main Street
Watsonville, CA 95076-4356
Phone (831) 688-8840

Other names 1

  • Community Bridges Elderday Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Bridges7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

501 Main St
Watsonville, CA 95076
Phone (831) 458-3481

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1043656101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MAIN STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764356",
            "telephone_number": "831-688-8840",
            "fax_number": "831-688-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764376",
            "telephone_number": "831-458-3481",
            "fax_number": "831-458-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-10-27",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "CANCINO",
        "authorized_official_first_name": "RAYMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "831-688-8840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Bridges Elderday",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Bridges Elderday",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.