MEDICARE: BRIGHTER BEGINNINGS

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	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609459833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER BEGINNINGS

Provider Business Mailing Address
First Line	:	2727 MACDONALD AVE
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-3006
Country	:	US
Telephone Number	:	510-610-8945
Fax Number	:	925-938-3662

Provider Business Practice Location Address
First Line	:	3505 LONE TREE WAY STE 1
Second Line	:
City	:	ANTIOCH
State	:	CA
Zip	:	94509-6067
Country	:	US
Telephone Number	:	925-303-4780
Fax Number	:	925-779-1455

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CLAUDIA KARELL
Credential	:
Telephone Number	:	925-448-3704

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	07/27/2022

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Directions to “BRIGHTER BEGINNINGS ” Practice Location

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