Organization Active NPI

Bright Life Detox & Recovery

  • Substance Abuse Rehabilitation Facility
  • Simi Valley, CA
National Provider Identifier
1124938147
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Sep 10, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.