| Bright Heart Health, Inc. | |
|
2960 Camino Diablo Ste 105 Walnut Creek CA 94597 | |
| (800) 892-2695 | |
| (415) 458-2691 |
| Full Name | Bright Heart Health, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 2960 Camino Diablo Ste 105, Walnut Creek, California |
| Authorized Official Name and Position | Jonathan Ciampi (CEO) |
| Authorized Official Contact | 8008922695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Heart Health, Inc. 2960 Camino Diablo Ste 105 Walnut Creek CA 94597-3945 Ph: (800) 892-2695 | Bright Heart Health, Inc. 2960 Camino Diablo Ste 105 Walnut Creek CA 94597 Ph: (800) 892-2695 |
| NPI Number | 1447643853 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 5597026310 |
|---|---|
| Medicare Enrollment ID | O20180219001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447643853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Katrina C Groves-rehwaldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487748943 PECOS PAC ID: 2466419023 Enrollment ID: I20041215000254 |
| Provider Name | Atul Grover |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1639166523 PECOS PAC ID: 9830116128 Enrollment ID: I20051027000242 |
| Provider Name | Mary P Kastner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073664231 PECOS PAC ID: 1557461464 Enrollment ID: I20070706000355 |
| Provider Name | Muhammad Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554372 PECOS PAC ID: 0941362636 Enrollment ID: I20081213000220 |
| Provider Name | Belis M Aladag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295994275 PECOS PAC ID: 3173785193 Enrollment ID: I20120508000406 |
| Provider Name | Ava Asher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881950632 PECOS PAC ID: 4981909629 Enrollment ID: I20160218000486 |
| Provider Name | Kataunya Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730705351 PECOS PAC ID: 5294130019 Enrollment ID: I20210824002559 |
| Provider Name | Pamela Vincent |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1376544874 PECOS PAC ID: 0143127753 Enrollment ID: I20211006002386 |
| Provider Name | Stacy E Sphar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777621 PECOS PAC ID: 1052786225 Enrollment ID: I20230331002533 |
| Provider Name | Celedor Akintunde |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1336152396 PECOS PAC ID: 2466557715 Enrollment ID: I20231228003827 |
| Provider Name | Helena Louise Rouhe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669595096 PECOS PAC ID: 6103276514 Enrollment ID: I20240103002424 |
| Provider Name | Victoria Agudah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730647991 PECOS PAC ID: 2365873544 Enrollment ID: I20240711002441 |
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