Craft Your Bra, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRAFT YOUR BRA, INC.

Doing business as

Craft Your Bra

Practice address

288 Campus Way
Suite #102
San Marcos, CA 92096

Phone

(858) 365-3770

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael Lafenhagen

Title

Ceo

Phone

(858) 365-3770

Specialties & licenses 1

Addresses

Other names 1

• Craft Your Bra Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1487346524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 RANCHO CARMEL DR.",
            "address_2": "STE 106 #1064",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284674",
            "telephone_number": "858-365-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 CAMPUS WAY",
            "address_2": "SUITE #102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92096",
            "telephone_number": "858-365-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT YOUR BRA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "LAFENHAGEN",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-365-3770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pm.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Office Ally Practice Mate",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11160 Rancho Carmel Dr.",
            "address_2": "Ste 106 #1064",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921284674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Craft Your Bra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.