NPIMap

Organization Active NPI

Bright Heart Health Medical Group a Medical Corporation

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1427569037
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRIGHT HEART HEALTH MEDICAL GROUP A MEDICAL CORPORATION
Practice address
2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Phone
(800) 892-2695
Fax
(415) 458-2691
NPI assigned
Oct 23, 2017
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alina Gridley
Title
Coo/Cfo
Phone
(925) 357-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945

Mailing address

PO Box 103731
Pasadena, CA 91189-0175
Phone (800) 892-2695

Other names 1

  • Bright Heart Health Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, NC, AR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20190523001697 CA Part B Supplier - Clinic/Group Practice 2264775790 Receives reassigned benefits from 13 practitioners
Practice locations: Walnut Creek, CA
O20240618003350 NM Part B Supplier - Clinic/Group Practice 2264775790 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Fe, NM
O20250521001906 NC Part B Supplier - Clinic/Group Practice 2264775790 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC
O20250627004001 AR Part B Supplier - Clinic/Group Practice 2264775790 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1427569037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103731",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890175",
            "telephone_number": "800-892-2695",
            "fax_number": "415-458-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CAMINO DIABLO STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973945",
            "telephone_number": "800-892-2695",
            "fax_number": "415-458-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HEART HEALTH MEDICAL GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "GRIDLEY",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "925-357-1204"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Heart Health Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.