Complex Rehab Specialist

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ATP1528 Issued in CA

Legal business name

COMPLEX REHAB SPECIALIST

Practice address

251 Imperial Hwy Ste 470
Fullerton, CA 92835-1063

Phone

(866) 597-0609

Fax

(866) 597-0609

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Charles Gary Hauser

Title

President

Phone

(866) 597-0609

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1285135301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W IMPERIAL HWY STE 101B",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213738",
            "telephone_number": "866-597-0609",
            "fax_number": "866-597-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 IMPERIAL HWY STE 470",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351063",
            "telephone_number": "866-597-0609",
            "fax_number": "866-597-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX REHAB SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-597-0609"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "ATP1528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESALE CERTIFICATE",
            "identifier": "SRRC103216572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George William Comer, OD
• Comforting Stars LLC
• Caitlan Brianna Comia
• Commonwealth Rehab LLC
• Communal Table Wellness, LLC
• Jake Conaway
• Pedro Concepcion
• Andrew Concoff, MD
• Carolyn Conley, PPS
• Jack Conlin

• Customized Equipment (DME) in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.