Yvonne Lynette Mincy

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

KK428331 Issued in CA

Practice address

640 S San Vicente Blvd Ste 441
Los Angeles, CA 90048-4654

Phone

(323) 244-3322

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bossi Gal Wig Academy

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
  • NPI 1871309468
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1669290060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484654",
            "telephone_number": "323-244-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484654",
            "telephone_number": "323-244-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCY",
        "first_name": "YVONNE",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "KK428331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bossigalbeverlyhills.com",
            "affiliation": "N",
            "endpointDescription": "Cranial Prosthetics/Custom Wigs for Patients",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Custom Wigs for Cancer Patients",
            "address_1": "640 S San Vicente Blvd Ste 441",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900484654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nyree Minatsaghanian, RN
• Reeva Mincer, DDS
• Veronica Ellen Minchaca, BA, CATC-II
• Gina Theresa Minchella, D.P.T.
• Jessica L Minckley, LMHC, ATR-BC
• Mind Body Spirit Acupuncture Center Inc.
• Mind Body Voice and Speech
• Mind Tenders
• Mind to Motion Physical Therapy, PC
• Rochelle Galace Mindanao

• Prosthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.