NPIMap

Organization Active NPI

Community Collaborative Charter School

  • School Counselor
  • McClellan, CA
National Provider Identifier
1932006533
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
COMMUNITY COLLABORATIVE CHARTER SCHOOL
Practice address
5715 Skvarla Ave
McClellan, CA 95652-2424
Phone
(916) 286-5161
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GATEWAY COMMUNITY CHARTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Jon Campbell
Title
Director
Phone
(916) 286-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X Primary

Addresses

Primary practice location

5715 Skvarla Ave
McClellan, CA 95652-2424

Mailing address

5715 Skvarla Ave
McClellan, CA 95652-2424
Phone (916) 286-5161

National Provider Directory

National Provider Directory
Tax ID family
Community Collaborative Charter School10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

5715 Skvarla Ave
McClellan, CA 95652
Phone (916) 286-5161

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1932006533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 SKVARLA AVE",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956522424",
            "telephone_number": "916-286-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 SKVARLA AVE",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956522424",
            "telephone_number": "916-286-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COLLABORATIVE CHARTER SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY COMMUNITY CHARTERS",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-286-5161"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellan, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.