Brightstar CSD, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIGHTSTAR CSD, LLC

Doing business as

Brightstar Encinitas/N. SanDiego

Practice address

5830 Oberlin Dr
Suite 204
San Diego, CA 92121-3703

Phone

(858) 777-9525

Fax

(858) 777-9551

NPI assigned

Jul 6, 2012

Organization subpart

Yes

Parent organization

BRIGHTSTAR GROUP HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Shelly Sun

Title

Owner

Phone

(847) 693-2040

Specialties & licenses 1

Addresses

Other names 1

• Brightstar Encinitas/N. SanDiego Doing business as

Part of

Fairlawnbrightstar

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1730444720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR",
            "address_2": "SUITE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213703",
            "telephone_number": "858-777-9525",
            "fax_number": "858-777-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR",
            "address_2": "SUITE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213703",
            "telephone_number": "858-777-9525",
            "fax_number": "858-777-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR CSD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTSTAR GROUP HOLDINGS, INC",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-693-2040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Encinitas/N. SanDiego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brighter Life
• Erika Brightmon
• Brighton Place San Diego
• Brightside Professional Clinical Counseling
• Brightstar Care NCSD
• Kyle Brignall
• Laverne Brikho, RD
• Martin Brill-Ortiz
• Cristina Brill, PSYD
• Victoria Briltz, OTD, OTR/L

• Home Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.