Individual Healthcare Provider
Benita Kimball, CMF
Provider's NPPES record last updated: February 27, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053789602
- Primary Specialty
- Mastectomy Fitter
- Practice Location
- Sacramento, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 9:58 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Mastectomy Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Taxonomy code 224900000X Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Taxonomy code 222Z00000X
Provider-Reported License Information
- Mastectomy Fitter (California)
- C52184
- Orthotist (California)
- C52184
Practice Locations
Practice Location
1329 Howe Ave Ste 101
Sacramento, California 95825-3363
Phone: (916) 480-9501
Record Information
- Enumeration Date
- September 11, 2015
- Provider's NPPES Record Last Updated
- February 27, 2024
- Certification Date
- February 27, 2024
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue