MEDICARE: BRIGHTSIDE HEALTH, INC.

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

General Provider Information

NPI Number	:	1366259608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTSIDE HEALTH, INC.

Provider Business Mailing Address
First Line	:	2261 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2029 CENTURY PARK E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2901
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRADLEY KITTREDGE
Credential	:
Telephone Number	:	415-360-3348

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	02/06/2025

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Directions to “BRIGHTSIDE HEALTH, INC. ” Practice Location

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