Organization Active NPI

Hers Breast Cancer Foundation

  • Durable Medical Equipment & Medical Supplies
  • Livermore, CA
National Provider Identifier
1104649532
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HERS BREAST CANCER FOUNDATION
Practice address
164 N L St Ste 107
Livermore, CA 94550-2118
Phone
(925) 273-7000
Fax
(510) 505-9160
NPI assigned
Nov 4, 2024
Organization subpart
Yes
Parent organization
HERS BREAST CANCER FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Rebecca Lalwani
Title
Director of Administration
Phone
(510) 790-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

164 N L St Ste 107
Livermore, CA 94550-2118

Mailing address

2500 Mowry Ave # 130
Fremont, CA 94538-1605
Phone (510) 790-1911

Other names 1

  • BRAS FOR BODY AND SOUL Former legal business name

National Provider Directory

National Provider Directory
Part of
Hers Breast Cancer Foundation

Locations

2500 Mowry Ave
#130
Fremont, CA 94538
Phone (510) 790-1911

875 Blake Wilbur Dr
Ste CC2102
Palo Alto, CA 94304
Phone (510) 790-1911

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1104649532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MOWRY AVE # 130",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381605",
            "telephone_number": "510-790-1911",
            "fax_number": "510-505-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 N L ST STE 107",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502118",
            "telephone_number": "925-273-7000",
            "fax_number": "510-505-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERS BREAST CANCER FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERS BREAST CANCER FOUNDATION",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "LALWANI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "510-790-1911"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAS FOR BODY AND SOUL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.