Cinderella'S Closet Your Specialty Lingerie Boutique

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

CINDERELLA'S CLOSET YOUR SPECIALTY LINGERIE BOUTIQUE

Practice address

9651 Business Center Dr Ste B
Rancho Cucamonga, CA 91730-4562

Phone

(951) 758-8827

Fax

(951) 758-8851

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Dana Walker, CMFNPI 1679106926

Title

Owner/Fitter

Phone

(951) 758-8827

Specialties & licenses 1

Addresses

Other names 1

• Cinderella's Closet Lingerie 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.

• Dana Walker, CMF

  • Mastectomy Fitter
  • Rancho Cucamonga, CA
  • NPI 1679106926
  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1386277002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 RIVERRUN CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523437",
            "telephone_number": "951-790-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 BUSINESS CENTER DR STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304562",
            "telephone_number": "951-758-8827",
            "fax_number": "951-758-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDERELLA'S CLOSET YOUR SPECIALTY LINGERIE BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/FITTER",
        "authorized_official_telephone_number": "951-758-8827",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cinderella's Closet Lingerie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cinderella's Closet Lingerie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ava Chung, DDS
• Daniel Chung, PSY.D.
• Susan Lee Chung, D.D.S.
• Ya-Wei Chung
• Julia N Cianchetti, RBT
• Daniel Richard Ciocca, AGACNP-BC
• Aaron George Cisneros, LMFT
• Vanessa Cisneros
• Roger Van Ostrand Claar, D.P.M.
• Andrew Paul Clack, MA

• Mastectomy Fitter in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.