Organization Active NPI

Hers Breast Cancer Foundation

  • Durable Medical Equipment & Medical Supplies
  • Fremont, CA
National Provider Identifier
1164506069
Registry record updated Jul 25, 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
2500 Mowry Ave
Suite #130
Fremont, CA 94538-1605
Phone
(510) 790-1911
Fax
(510) 505-9160
NPI assigned
Oct 25, 2006
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 NU Primary

Addresses

Primary practice location

2500 Mowry Ave
Suite #130
Fremont, CA 94538-1605

Mailing address

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

Other practice location 1

164 N L St Ste 107
Livermore, CA 94550-2118
Phone (925) 273-7000

Other practice location 2

2401 Merced St Ste 100
San Leandro, CA 94577-4200
Phone (510) 969-7758

Other names 1

  • Bras For Body & Soul Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930054553 CA DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Prosthetic Personnel 8527274075 Practice locations: Fremont, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Hers Breast Cancer Foundation2500 Mowry Ave, Fremont, CA 94538-1605(510) 790-1911 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since May 21, 2003

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1164506069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MOWRY AVE",
            "address_2": "SUITE #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": "2500 MOWRY AVE",
            "address_2": "SUITE #130",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381605",
            "telephone_number": "510-790-1911",
            "fax_number": "510-505-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 N L St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945502118",
            "country_code": "US",
            "telephone_number": "925-273-7000",
            "fax_number": "510-505-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Merced St Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774200",
            "country_code": "US",
            "telephone_number": "510-969-7758",
            "fax_number": "510-505-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERS BREAST CANCER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bras For Body & Soul",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.