Healthcare Provider Details

I. General information

NPI: 1326427857
Provider Name (Legal Business Name): BRIGHTER BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 05/17/2021
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 BUCHANAN RD STE 103
ANTIOCH CA
94509-4265
US

IV. Provider business mailing address

2727 MACDONALD AVE
RICHMOND CA
94804-3006
US

V. Phone/Fax

Practice location:
  • Phone: 925-303-4780
  • Fax: 925-779-1455
Mailing address:
  • Phone: 510-610-8945
  • Fax: 925-938-3662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. BARBARA BUNN MCCULLOUGH
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential: PH.D
Phone: 510-610-8945