Active NPI
Brightlife Medical Group
- Integrative Medicine Physician
- Burbank, CA
National Provider Identifier
1417887670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- BRIGHTLIFE MEDICAL GROUP
- Practice address
- 4318 W Victory Blvd
Burbank, CA 91505-1334 - Phone
- (504) 338-6596
- NPI assigned
- May 20, 2026
- Last updated
- Jun 8, 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
- Sushil Prabakaran Anand, MD
- Title
- President
- Phone
- (504) 338-6596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Integrative Medicine Physician | 202D00000X | Primary |
Addresses
Primary practice location
4318 W Victory Blvd
Burbank, CA 91505-1334
Mailing address
4318 W Victory Blvd
Burbank, CA 91505-1334
Phone (504) 338-6596
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1417887670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 W VICTORY BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051334",
"telephone_number": "504-338-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 W VICTORY BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051334",
"telephone_number": "504-338-6596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTLIFE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-20",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "ANAND",
"authorized_official_first_name": "SUSHIL",
"authorized_official_middle_name": "PRABAKARAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-338-6596",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.