Organization Active NPI

Lindas Specialty Shop Inc

  • Durable Medical Equipment & Medical Supplies
  • Thousand Oaks, CA
National Provider Identifier
1114029626
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LINDAS SPECIALTY SHOP INC
Practice address
1321 E Thousand Oaks Blvd
Suite 122
Thousand Oaks, CA 91362-2821
Phone
(805) 374-2293
Fax
(805) 374-2295
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Linda Jean Brafford
Title
President
Phone
(805) 374-2293

Specialties & licenses 1

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

Addresses

Primary practice location

1321 E Thousand Oaks Blvd
Suite 122
Thousand Oaks, CA 91362-2821

Mailing address

1321 E Thousand Oaks Blvd
Suite 122
Thousand Oaks, CA 91362-2821
Phone (805) 374-2293

Other names 1

  • A Private Affair Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041248 CA DME Supplier - Medical Supply Company With Prosthetic Personnel 5799897039 Practice locations: Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
A Private Affair1321 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-6274(805) 374-2293 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Aug 13, 2001

National Provider Directory

National Provider Directory

Locations

1321 E Thousand Oaks Blvd
Ste 122
Thousand Oaks, CA 91362
Phone (805) 374-2293

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1114029626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 122",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622821",
            "telephone_number": "805-374-2293",
            "fax_number": "805-374-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 122",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622821",
            "telephone_number": "805-374-2293",
            "fax_number": "805-374-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDAS SPECIALTY SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BRAFFORD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-374-2293"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Private Affair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.