Bridges Community Treatment Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGES COMMUNITY TREATMENT SERVICES INC

Doing business as

BRIDGES, Inc.

Practice address

279 E Arrow Hwy Ste 102
San Dimas, CA 91773

Phone

(909) 623-6651

Fax

(909) 623-0455

NPI assigned

May 30, 2007

Last updated

Mar 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori PendroffNPI 1174909956

Title

Executive Director

Phone

(909) 623-6651

Specialties & licenses 1

Addresses

Other names 1

• BRIDGES, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bridges Community Treatment Services Inc

  dba BRIDGES, Inc.

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
  • NPI 1275762841

  O20110127001039

  Same enrollment

Tax ID family

Bridges Community Treatment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bridges Comm Treatment SVS.Inc.

  dba BRIDGES, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • El Monte, CA
  • NPI 1346374477
  NPD tax ID
• Bridges Comm Treatment SVS.Inc.

  dba BRIDGES, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • El Monte, CA
  • NPI 1437283561
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bridges Community Treatment Services Inc

  dba BRIDGES, Inc.

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
  • NPI 1275762841
  NPPES parent name

Practitioners 2

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.

• Daniel Son, MD

  • Psychiatry Physician
  • Pomona, CA
  • NPI 1891915146
  Medicare reassignment NPD
• Lori Pendroff

  • Case Manager/Care Coordinator
  • San Dimas, CA
  • NPI 1174909956
  Authorized official Same address or phone

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1881895415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 E ARROW HWY STE 102",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733320",
            "telephone_number": "909-623-6651",
            "fax_number": "909-623-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E ARROW HWY STE 102",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "909-623-6651",
            "fax_number": "909-623-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COMMUNITY TREATMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "PENDROFF",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-623-6651"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGES, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIDGES, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Ann Brady, MD
• Melissa Leo Braucht, PT
• Summer Breese
• Terrie Jean Brenner, OTR
• Jordan Bridger, PH.D
• Jocelyn Penelope Brito
• Erin Broberg
• Kelly Lynn Brooks
• Roswitha M Brooks, PHD
• Jenifer Elizabeth Brown

• Community/Behavioral Health Agency in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.