Healthcare Provider Details

I. General information

NPI: 1992694129
Provider Name (Legal Business Name): LENKIYA N BREWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 106TH AVE
OAKLAND CA
94603-3813
US

IV. Provider business mailing address

1714 FRANKLIN ST STE 100364
OAKLAND CA
94612-3488
US

V. Phone/Fax

Practice location:
  • Phone: 510-459-7286
  • Fax:
Mailing address:
  • Phone: 510-459-7286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: