Healthcare Provider Details

I. General information

NPI: 1013836444
Provider Name (Legal Business Name): HEALTHBRIDGE COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 E WASHINGTON ST APT A16
COLTON CA
92324-6451
US

IV. Provider business mailing address

1735 E WASHINGTON ST APT A16
COLTON CA
92324-6451
US

V. Phone/Fax

Practice location:
  • Phone: 951-368-8708
  • Fax:
Mailing address:
  • Phone: 951-368-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MARIA RENEE ORTIZ ORTIZ
Title or Position: EXECUTIVE DIRECTOR
Credential: CHW
Phone: 951-368-8708