Provider Demographics
NPI:1942750849
Name:BRIGHTER BEGINNINGS
Entity Type:Organization
Organization Name:BRIGHTER BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:BUNN
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-610-8945
Mailing Address - Street 1:3478 BUSKIRK AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4345
Mailing Address - Country:US
Mailing Address - Phone:510-610-8945
Mailing Address - Fax:
Practice Address - Street 1:2213 BUCHANAN RD
Practice Address - Street 2:STE 103
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4265
Practice Address - Country:US
Practice Address - Phone:925-303-4780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002684261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1942638978Medicaid
CA751849Medicare Oscar/Certification