Organization Active NPI

Brightside Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1508357419
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRIGHTSIDE BEHAVIORAL HEALTH LLC
Practice address
16168 Beach Blvd Ste 100
Huntington Beach, CA 92647-3872
Phone
(949) 307-9212
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Barmak Hefazi
Title
Ceo
Phone
(949) 307-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

16168 Beach Blvd Ste 100
Huntington Beach, CA 92647-3872

Mailing address

3972 Barranca Pkwy Ste J458
Irvine, CA 92606-1204
Phone (949) 307-9212

National Provider Directory

National Provider Directory

Locations

16168 Beach Blvd
Ste 100
Huntington Beach, CA 92647
Phone (714) 842-7729

3972 Barranca Pkwy
Ste J458
Irvine, CA 92606

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1508357419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY STE J458",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061204",
            "telephone_number": "949-307-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16168 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473872",
            "telephone_number": "949-307-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "HEFAZI",
        "authorized_official_first_name": "BARMAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-307-9212"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.