Braden Partners LP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BRADEN PARTNERS LP

Doing business as

Pacific Pulmonary Services

Practice address

12284 Industrial Blvd
Ste 6B
Victorville, CA 92395-5830

Phone

(760) 241-9364

Fax

(760) 241-9712

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Jane L Thomas

Title

Chief Executive Officer

Phone

(415) 893-1518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Pulmonary Services Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1912011016",
    "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": "12284 INDUSTRIAL BLVD",
            "address_2": "STE 6B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955830",
            "telephone_number": "760-241-9364",
            "fax_number": "760-241-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "L",
        "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": "DME03205F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Bourne
• Alyssa Bousquet
• Sharyl Bowen, QASP-S
• Tina Marie Boykin, PA-C
• Alexis Marie Bracken
• Antoine Bradford
• Denise Branch
• Dylan Branson
• Shana Brantley
• Jasmin Del Rosario Bravo Rangel

• Oxygen Equipment & Supplies (DME) in Victorville, CA
• Providers in Victorville, 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 Sep 10, 2015; 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.