Braden Partners LP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BRADEN PARTNERS LP

Practice address

2122 Adams Ave
San Leandro, CA 94577-1010

Phone

(510) 562-5501

Fax

(510) 562-5950

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Yehoshua Parnes

Title

Chief Executive Officer

Phone

(415) 893-1518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Pulmonary Services Doing business as

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1902910201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 HARRIS RD",
            "address_2": "UNIT 204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118990",
            "telephone_number": "661-396-3720",
            "fax_number": "661-832-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 ADAMS AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771010",
            "telephone_number": "510-562-5501",
            "fax_number": "510-562-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PARNES",
        "authorized_official_first_name": "YEHOSHUA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-893-1518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03074F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Boyle
• Svetlana Boyle, FNP-BC
• Andrea Bozym, APCC
• Megan Braddock
• Braden Partners LP
• Andrea Bradford
• Roshawnda Latrice Bradford
• Adrian Bradley
• Kimberly A Bradley, PSYD
• Narkyitta Bradley

• Oxygen Equipment & Supplies (DME) in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.