NPIMap

Organization Active NPI

Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1801355482
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHTSIDE MEDICAL, P.C.
Practice address
5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175
Phone
(415) 360-3348
Fax
(855) 350-5708
NPI assigned
Mar 13, 2019
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Mirene WinsbergNPI 1376806463
Title
Administration
Phone
(415) 360-3348

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175

Mailing address

2261 Market St Ste 10222
San Francisco, CA 94114-1612
Phone (415) 360-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, TN, CT, LA, MD, SC, NV, KY9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20220404000301 CA Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 62 practitioners
Practice locations: Los Angeles, CA
O20230403000549 TX Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 237 practitioners
Practice locations: Austin, TX
O20230404000547 TN Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 49 practitioners
Practice locations: Knoxville, TN
O20230420001140 CT Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 11 practitioners
Practice locations: Stamford, CT
O20230510001413 LA Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 20 practitioners
Practice locations: Lafayette, LA
O20230526001102 MD Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 23 practitioners
Practice locations: Baltimore, MD
O20230608002286 SC Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 38 practitioners
Practice locations: Columbia, SC
O20230810004035 NV Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV
O20230914000250 KY Part B Supplier - Clinic/Group Practice 6608262464 Receives reassigned benefits from 8 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1303 US Highway 127 S
Ste 104
Frankfort, KY 40601

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

Practitioners & affiliated clinicians

Practitioners 643

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 643

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1801355482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST STE 10222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "415-360-3348",
            "fax_number": "855-350-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD # 345",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "telephone_number": "415-360-3348",
            "fax_number": "855-350-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "WINSBERG",
        "authorized_official_first_name": "MIRENE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "415-360-3348"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.