Active NPI
Bright Life Detox & Recovery
- Substance Abuse Rehabilitation Facility
- Simi Valley, CA
National Provider Identifier
1124938147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- BRIGHT LIFE DETOX & RECOVERY
- Practice address
- 3164 Elmore St
Simi Valley, CA 93063-2620 - Phone
- (805) 261-0339
- Fax
- (805) 261-0130
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karine Matnishyan, RN, BSN
- Title
- Chief Executive Officer
- Phone
- (818) 392-0554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3164 Elmore St
Simi Valley, CA 93063-2620
Mailing address
3164 Elmore St
Simi Valley, CA 93063-2620
Phone (805) 261-0339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1124938147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 ELMORE ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632620",
"telephone_number": "805-261-0339",
"fax_number": "805-261-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3164 ELMORE ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632620",
"telephone_number": "805-261-0339",
"fax_number": "805-261-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT LIFE DETOX & RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MATNISHYAN",
"authorized_official_first_name": "KARINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "818-392-0554",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.