| Brighter Beginnings | |
|
2727 Macdonald Ave Richmond CA 94804-3006 | |
| (510) 610-8945 | |
| (510) 236-7346 |
| Full Name | Brighter Beginnings |
|---|---|
| Speciality | Clinic/Center |
| Location | 2727 Macdonald Ave, Richmond, California |
| Authorized Official Name and Position | Barbara Bunn Mccullough (CEO) |
| Authorized Official Contact | 5106108945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Beginnings 2727 Macdonald Ave Richmond CA 94804-3006 Ph: (510) 236-6990 | Brighter Beginnings 2727 Macdonald Ave Richmond CA 94804-3006 Ph: (510) 610-8945 |
| NPI Number | 1942638978 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 08/31/2021 |
| Medicare PECOS PAC ID | 8820274699 |
|---|---|
| Medicare Enrollment ID | O20110511000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942638978 | NPI | - | NPPES |
| 1487837951 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Maria Luz Webster-longin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134229388 PECOS PAC ID: 2163469115 Enrollment ID: I20050412000653 |
| Provider Name | Peter Navolanic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427121896 PECOS PAC ID: 1355443219 Enrollment ID: I20070222000717 |
| Provider Name | Jennifer L Beeckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174729271 PECOS PAC ID: 1850577743 Enrollment ID: I20110510000511 |
| Provider Name | Lisa A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750581591 PECOS PAC ID: 0941424956 Enrollment ID: I20140613000714 |
| Provider Name | Marina Robles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568792398 PECOS PAC ID: 5092024588 Enrollment ID: I20151023001082 |
| Provider Name | Mary Gabrielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356331573 PECOS PAC ID: 7719267137 Enrollment ID: I20161130002607 |
| Provider Name | Paul Tugulumize Kiruuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562939 PECOS PAC ID: 8426462318 Enrollment ID: I20210204002278 |
| Provider Name | Annie R Adams-roselle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255735874 PECOS PAC ID: 1456755511 Enrollment ID: I20210811002234 |
| Provider Name | Haesook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972020824 PECOS PAC ID: 6608258413 Enrollment ID: I20220726002674 |
| Provider Name | Phyllis Crisostomo Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456351 PECOS PAC ID: 5597014191 Enrollment ID: I20220824002260 |
| Provider Name | Jessica Fusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508538950 PECOS PAC ID: 2466836341 Enrollment ID: I20220825003322 |
| Provider Name | Hetalben Naginbhai Vellanki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477202208 PECOS PAC ID: 1254708183 Enrollment ID: I20221107002289 |
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