NPIMap

Organization Active NPI

Braden Partners LP

Doing business as Pacific Pulmonary Services

  • Oxygen Equipment & Supplies (DME)
  • Oakdale, CA
National Provider Identifier
1871517409
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BRADEN PARTNERS LP
Doing business as
Pacific Pulmonary Services
Practice address
509 Armstrong Way
Suite C
Oakdale, CA 95361-7775
Phone
(209) 848-1014
Fax
(209) 848-9177
NPI assigned
Jul 27, 2006
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Yvonne M Cordoza
Title
SVP Customer Care
Phone
(415) 893-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

509 Armstrong Way
Suite C
Oakdale, CA 95361-7775

Mailing address

4300 Stine Rd
Ste 800
Bakersfield, CA 93313-2354
Phone (661) 396-3720

Other identifiers 1

IdentifierTypeStateIssuer
DME03203FMedicaidCA

Other names 1

  • Pacific Pulmonary Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med-Mart66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

509 Armstrong Way
Ste C
Oakdale, CA 95361
Phone (209) 848-1014

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1871517409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "STE 800",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132354",
            "telephone_number": "661-396-3720",
            "fax_number": "661-832-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ARMSTRONG WAY",
            "address_2": "SUITE C",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953617775",
            "telephone_number": "209-848-1014",
            "fax_number": "209-848-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "CORDOZA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP CUSTOMER CARE",
        "authorized_official_telephone_number": "415-893-1518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03203F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.