BRIDGE COMMUNITY SERVICES OF CA — NPI 1053136242 (Licensed & Credentialed Case Management in MARINA, CA)

CMS-1500 Box 24J / 33a • NPI

1053136242

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251B00000X

Licensed & Credentialed Case Management

Box 32 Service Location & ZIP+4

15065 BRECKINRIDGE AVE, MARINA, CA, 93933-5089

✓ 9-Digit EDI 837 ZIP+4 (93933-5089)

Practice Phone & Referral Fax

(831) 869-2747

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053136242 (BRIDGE COMMUNITY SERVICES OF CA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053136242` (NPI-2 Organization / Facility)
Provider / Legal Name	BRIDGE COMMUNITY SERVICES OF CA
Plain-English Specialty	Licensed & Credentialed Case Management NUCC Code: `251B00000X` (Case Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15065 BRECKINRIDGE AVE, MARINA, CA, 93933-5089
Practice Telephone / Fax	Tel: (831) 869-2747
Administrative Mailing Address	15065 BRECKINRIDGE AVE, MARINA, CA, 93933-5089
Enumeration & Last Sync	Enumerated: 2024-11-21 \| CMS Record Updated: 2024-11-21
Authorized Official	STEPHANIE VALDEZ (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15065 BRECKINRIDGE AVE, MARINA, CA, 93933-5089

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Plain-English Taxonomy & CMS Crosswalk (251B00000X)

What Does Taxonomy Code 251B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251B00000X translates to:
"Licensed & Credentialed Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIDGE COMMUNITY SERVICES OF CA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRIDGE COMMUNITY SERVICES OF CA (NPI #1053136242)