MEDICARE: COMMUNITY CONNECTIONS OF CA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1215807698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CONNECTIONS OF CA

Provider Business Mailing Address
First Line	:	11420 COMMERCIAL PKWY STE C
Second Line	:
City	:	CASTROVILLE
State	:	CA
Zip	:	95012-3214
Country	:	US
Telephone Number	:	831-737-9684
Fax Number	:	833-485-4855

Provider Business Practice Location Address
First Line	:	11420 COMMERCIAL PKWY STE C
Second Line	:
City	:	CASTROVILLE
State	:	CA
Zip	:	95012-3214
Country	:	US
Telephone Number	:	831-737-9684
Fax Number	:	833-485-4855

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	BRITANY LEE
Credential	:	MSW
Telephone Number	:	831-737-9684

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	06/05/2026

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Directions to “COMMUNITY CONNECTIONS OF CA ” Practice Location

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