MS. BENITA KIMBALL CMF
NPI 1053789602
Mastectomy Fitter in Sacramento, CA

Q: What is Benita Kimball's NPI number?

The NPI number for Benita Kimball is 1053789602. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Benita Kimball's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

Q: When was this NPI record last updated?

The NPPES record for Benita Kimball was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2015

1329 HOWE AVE STE 101, SACRAMENTO, CA 95825(916) 480-9501(510) 350-9166 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2022, Feb 22, 2022, Mar 22, 2017 (3 updates tracked since 2017).

On this page

About Ms. Benita Kimball Cmf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BENITA KIMBALL CMF (NPI 1053789602) is an individual mastectomy fitter provider in Sacramento, California, licensed in California (C52184) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1053789602

Entity TypeIndividualFemale

Primary Taxonomy224900000X

Provider Legal NameMS. BENITA KIMBALLCredential: CMF

Location Address1329 HOWE AVE STE 101Sacramento, CA 95825-3363

Mailing Address1329 Howe Ave Ste 101Sacramento, CA 95825-3363 · (916) 480-9501 · Fax (510) 350-9166

Phone(916) 480-9501

Fax(510) 350-9166

Sole ProprietorNo

Enumeration DateSeptember 11, 2015

Last NPPES UpdateFebruary 27, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1053789602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224900000X

License✔ Licensed in CA · C52184

Definition

An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

Also ListedOrthotistTaxonomy 222Z00000X · License C52184 (CA)

1329 HOWE AVE STE 101, Sacramento, CA 95825

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Other Identifiers 1

OtherC52184CA · Boc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AT LAST BRA AND LINGERIE BOUTIQUE LLC

Prosthetic/Orthotic Supplier

1329 HOWE AVE STE 101
SACRAMENTO, CA 95825

Sacramento County (916) 480-9501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benita Kimball's NPI number?

The NPI number for Benita Kimball is 1053789602. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Benita Kimball located?

Benita Kimball practices at 1329 Howe Ave Ste 101, Sacramento, CA 95825. The listed phone number is (916) 480-9501.

What is Benita Kimball's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Benita Kimball was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.