Provider Demographics
NPI:1023559846
Name:BRIGHT HEART HEALTH, INC.
Entity Type:Organization
Organization Name:BRIGHT HEART HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CIAMPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-884-4474
Mailing Address - Street 1:2603 CAMINO RAMON
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-9126
Mailing Address - Country:US
Mailing Address - Phone:844-884-4474
Mailing Address - Fax:415-458-2691
Practice Address - Street 1:4411 DUPONT CT
Practice Address - Street 2:SUITE 120
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7758
Practice Address - Country:US
Practice Address - Phone:844-884-4474
Practice Address - Fax:415-458-2691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHT HEART HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty