Active NPI
Lindas Specialty Shop Inc
- Durable Medical Equipment & Medical Supplies
- Thousand Oaks, CA
National Provider Identifier
1114029626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041248 | CA | DME Supplier - Medical Supply Company With Prosthetic Personnel | 5799897039 | Practice locations: Thousand Oaks, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| A Private Affair | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.