COLLEGE COMMUNITY SERVICES (NPI# 1790830834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790830834 |
| Entity Type | Organization |
| Organization Name | COLLEGE COMMUNITY SERVICES |
| Practice Address |
2731 Nugget Ave Box Po 2632 Lake Isabella CA 93240-9492 |
| Mailing Address |
4281 Katella Ave Suite 201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 7603793412 |
| Practice Fax Number | 7603795332 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
| Authorized Official Telephone | 7145036880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1730391376 | College Community Services | Community/Behavioral Health | 29341 Kimberlina Rd Ste 102, Wasco, CA 93280-7617 | 2007-05-04 |
| 1528197662 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 116, Santa Ana, CA 92705 | 2007-03-05 |
| 1235274804 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 200&205, Santa Ana, CA 92705-3916 | 2007-02-21 |
| 1841335692 | College Community Services | Community/Behavioral Health | 11277 Garden Grove Blvd Ste 100, Garden Grove, CA 92843-1340 | 2007-02-20 |
| 1790256766 | College Community Services | Community/Behavioral Health | 928 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1336610302 | College Community Services | Community/Behavioral Health | 930 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1083185136 | College Community Services | Community/Behavioral Health | 2821 H St, Bakersfield, CA 93301-1913 | 2018-12-16 |
| 1750831889 | College Community Services | Health Maintenance Organization | 401 S Tustin St, Building #c, Orange, CA 92866-2550 | 2016-10-13 |
| 1144578816 | College Community Services | Community/Behavioral Health | 13950 Milton Ave, Suite 306, Westminster, CA 92683-2900 | 2012-08-28 |
| Street Address |
2731 NUGGET AVE BOX PO 2632 |
| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 93240-9492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336290345 | Annette Olvera Nunez | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2007-01-16 |
| 1740800770 | Desiree Sue Pearman | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-20 |
| 1437778628 | Michelle Angelica Priesol | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-08 |
| 1609405737 | Amanda Kathleen Chase | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-01 |
| 1851928170 | Madison Victoria Walker | Social Worker | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-03-25 |
| 1568002566 | Kathleen Freaney | Social Worker | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-01-08 |
| 1033759030 | Heather Alldredge Menzel | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-01-08 |
| 1538706494 | Susan Shaw | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-12-10 |
| 1699311050 | Kailyn Laskowski | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-11-20 |
| 1164065132 | Rochelle Votaw Mendia | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568001 | Chelsea Rose Vega | Case Manager/Care Coordinator | 2731 Nugget Aveune, Lake Isabella, CA 93240 | 2020-01-30 |
| 1891224655 | David Travis Stirling | Chiropractor | 3615 Wagon Wheel Dr, Lake Isabella, CA 93240 | 2017-06-06 |
| 1629442017 | Parinaz Khojastehfar | Pharmacist | 5530 Lake Isabella, Lake Isabella, CA 93240 | 2015-11-23 |
| 1184040610 | Joseph M Kent Dds Inc. | Dentist | 6421 Lynch Canyon Drive, Lake Isabella, CA 93240 | 2014-03-07 |
| 1720347495 | Patricia Maria Arellano | Massage Therapist | 3611 Wagon Wheel, Lake Isabella, CA 93240 | 2012-05-15 |
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1407028442 | Faith Lucille Morrison | Massage Therapist | 5540 Kern Valley Plaza, Lake Isabella Blvd, Lake Isabella, CA 93240 | 2008-03-31 |
| 1730388992 | Kent Edward Skogerson | Surgery | 4612 Laurel Ave, Lake Isabella, CA 93240 | 2007-07-17 |
| 1275749145 | Trung Nguyen | Dentist | 5640 Lake Isabella Blvd # A5, Box 3254, Lake Isabella, CA 93240 | 2007-05-15 |
| 1184840209 | Robert A Rachal | Hearing Instrument Specialist | 6040 B Lake Isabella Blvd, Lake Isabella, CA 93240 | 2007-04-17 |
| Find all providers in zip 93240 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
Please comment or provide details below to improve the information on COLLEGE COMMUNITY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.