College Community Services
Organization Active NPI Community/Behavioral Health Agency · Tehachapi, CA
NPI 1831870500 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1831870500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COLLEGE COMMUNITY SERVICES
- Practice address
- 432 S Mill St
Tehachapi, CA 93561-2027 - Phone
- (661) 505-5614
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
Authorized official
- Name
- Tracy Ginter, MBA, CBCS
- Title
- Director of State Operations
- Phone
- (657) 465-9497
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 21
Practitioners 230
-
Leea Aghajani, MSN-ED, PMHNP-BC
-
Bruce David Appelbaum, M.D.
-
Sandra Ann Barela, LMFT95361
-
Martha Laura Beatty, LCSW
-
Jill Ann Cavish, NP
-
Berlynn Ching, NP
-
Jagdeep Singh Garewal, M.D.
-
Jairo Gomez, M.D.
-
Khoiviet Hathuc, D.O,
-
Nubia Hennessey, M.A.
-
Chung-Lim Kim, M.D.
-
Connery Lee, FNP
-
David Boyd Light, N.P.
-
Charlotte Maria Primo Mizuta, PMH-NP
-
Alejandrina Perez, LMFT
-
Alicia Leann Reimer, PH.D
-
Jill Marie Ridens, RN, RD
-
Douglas Jay Schave, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100415000405 | CA | Part B Supplier - Clinic/Group Practice | 4183767999 |
Receives reassigned benefits from 26 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wasco, CA; Tehachapi, CA; Taft, CA; Santa Ana, CA; Ridgecrest, CA; Mojave, CA; Orange, CA; Anaheim, CA… |
National Provider Directory
- Tax ID family
- College Community Servi
Locations
511 N Brookhurst St
Ste 200
Anaheim, CA 92801
Phone (714) 780-0750
12800 Garden Grove Blvd
Ste Efg
Garden Grove, CA 92843
2731 Nugget Ave
Lake Isabella, CA 93240
Phone (760) 379-3412
16940 State Highway 14
Ste C
Mojave, CA 93501
Phone (661) 824-5020
1400 N Norma St
Ste 133
Ridgecrest, CA 93555
Phone (760) 499-7406
1530 E 1st St
Ste 210
Santa Ana, CA 92701
Phone (714) 836-1272
1021 4th St
#B
Taft, CA 93268
Phone (661) 765-7025
432 S Mill St
Tehachapi, CA 93561
Phone (661) 822-8223
1121 W Valley Blvd
Ste Bc
Tehachapi, CA 93561
Phone (657) 465-9497
82820 Trona Rd
Trona, CA 93562
Phone (760) 372-4524
928 F St
Wasco, CA 93280
Phone (661) 674-3378
29341 Kimberlina Rd
Wasco, CA 93280
Phone (661) 758-4029
29325 Kimberlina Rd
Wasco, CA 93280
Phone (661) 758-4029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
432 S Mill St
Tehachapi, CA 93561-2027
Mailing address
8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957
Phone (657) 465-9497
Other names
- Clarvida
Other providers in Tehachapi, CA
- Michelle Ann Charkins
- Velina Astrid Charleston
- Baek Young Choung
- Alicia Clabaugh
- College Community Services
- Jackson Consani
- Marie Ann Corey
- Cornerstone Center for Counseling and Discipleship, Inc.
- Corrections and Rehabilitation-Headquarters
- Brenda Correia
All providers in Tehachapi, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.