At Last Bra and Lingerie Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C52184 Issued in CA

Legal business name

AT LAST BRA AND LINGERIE BOUTIQUE LLC

Doing business as

AT LAST... BRAS, A MASTECTOMY BOUTIQUE

Practice address

1329 Howe Ave Ste 101
Sacramento, CA 95825-3363

Phone

(916) 480-9501

Fax

(916) 800-8271

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Benita Leichelle Kimball, CMFNPI 1053789602

Title

Owner

Phone

(916) 480-9501

Specialties & licenses 1

Addresses

Other names 1

• AT LAST... BRAS, A MASTECTOMY BOUTIQUE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benita Kimball, CMF

  • Mastectomy Fitter
  • Sacramento, CA
  • NPI 1053789602
  NPD Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1245698984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 HOWE AVE STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253363",
            "telephone_number": "916-480-9501",
            "fax_number": "916-514-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 HOWE AVE STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253363",
            "telephone_number": "916-480-9501",
            "fax_number": "916-800-8271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Poole Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959932665",
            "country_code": "US",
            "telephone_number": "916-480-9501",
            "fax_number": "916-800-8271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT LAST BRA AND LINGERIE BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "BENITA",
        "authorized_official_middle_name": "LEICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-480-9501",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C52184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AT LAST... BRAS, A MASTECTOMY BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mulifanua Alapati Asuega, MHRS
• Christine M Asuncion-Tapalla, MD
• Charlene Asuncion
• Joel Caronan Asuncion, PT
• Robert Jayson Asuncion, MPT
• At Provider Group of California PC
• Atacat Psychiatry
• Maynard Atal
• Sara Atashbar, PA-S1
• Behnoush Atashzaban

• Prosthetic/Orthotic Supplier in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.