NPIMap

Organization Active NPI

Community Bridges

  • Community Health Worker
  • Watsonville, CA
National Provider Identifier
1598508681
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
COMMUNITY BRIDGES
Practice address
519 Main Street
Watsonville, CA 95076-4356
Phone
(831) 688-8840
Fax
(831) 688-8302
NPI assigned
Jun 17, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Public Health or Welfare Agency 251K00000X NU
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

519 Main Street
Watsonville, CA 95076-4356

Mailing address

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

Other names 1

  • Enhanced Care Management Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1598508681",
    "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": "519 MAIN STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764356",
            "telephone_number": "831-688-8840",
            "fax_number": "831-688-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "CANCINO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "831-688-8840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhanced Care Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 2024; 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.