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Braden Partners LP

Organization Active NPI Oxygen Equipment & Supplies (DME) · Spring Valley, CA

NPI 1154435220 · NPPES record last updated Mar 29, 2011

Key facts

NPI
1154435220
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
BRADEN PARTNERS LP
Practice address
2733 Via Orange Way
Suite 101
Spring Valley, CA 91978-1748
Phone
(619) 670-1726
Fax
(619) 670-1754
NPI assigned
Aug 18, 2006
Organization subpart
No

Authorized official

Name
Christopher M Kane
Title
Chief Executive Officer
Phone
(415) 893-1518

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Med-Mart (66 organizations share this tax ID)

Locations

2733 Via Orange Way
Ste 101
Spring Valley, CA 91978
Phone (619) 670-1726

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

2733 Via Orange Way
Suite 101
Spring Valley, CA 91978-1748

Mailing address

4300 Stine Rd
Suite 800
Bakersfield, CA 93313-2354
Phone (661) 396-3720

Other identifiers

IdentifierTypeStateIssuer
DME03197FMedicaidCA

Other names

  • Pacific Pulmonary Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2011.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1154435220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "SUITE 800",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132354",
            "telephone_number": "661-396-3720",
            "fax_number": "661-832-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 VIA ORANGE WAY",
            "address_2": "SUITE 101",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781748",
            "telephone_number": "619-670-1726",
            "fax_number": "619-670-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-893-1518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03197F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

All providers in Spring Valley, CA · Oxygen Equipment & Supplies (DME) in California

Sources for this page

Verify at the official NPI Registry.