COMMUNITY BRIDGES NPI 1043656101

NPI Information

  • NPI: 1043656101
  • Provider Name: COMMUNITY BRIDGES
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: COMMUNITY BRIDGES ELDERDAY
  • CLIA Number: 05D0990387
  • Address: 501 MAIN STREET
    WATSONVILLE, CA
    ZIP 95076
  • Phone: (831) 458-3481

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NPI Details

COMMUNITY BRIDGES is an adult day care clinic center in Watsonville, CA. COMMUNITY BRIDGES NPI is 1043656101. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Bridges Elderday.

The provider's business location address is:

501 MAIN STREET
WATSONVILLE, CA
ZIP 95076-376
Phone: (831) 458-3481
Fax: (831) 458-2945

The provider's authorized official is Raymon Cancino .
The authorized official title is Chief Executive Officer and has the following contact phone number (831) 688-8840.

The CLIA number assigned to this NPI record is 05D0990387 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2013 and was last updated on 10/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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