Active NPI
Hers Breast Cancer Foundation
- Durable Medical Equipment & Medical Supplies
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- 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
- Rebecca Lalwani
- Title
- Director of Administration
- Phone
- (510) 790-1911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054553 | CA | DME Supplier - Medical Supply Company With 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).
-
- Durable Medical Equipment & Medical Supplies
- San Leandro, CA
- NPI 1396568721
8527274075
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 |
|---|---|---|
| Hers Breast Cancer Foundation | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Durable Medical Equipment & Medical Supplies
- Livermore, CA
- NPI 1104649532
-
- Durable Medical Equipment & Medical Supplies
- San Leandro, CA
- NPI 1396568721
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.