Custom Rehab Bracing and Medical Supply,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101-555617 Issued in CA

Legal business name

CUSTOM REHAB BRACING AND MEDICAL SUPPLY,LLC

Practice address

721 River Park Dr
San Jose, CA 95111-1552

Phone

(408) 660-0120

Fax

(408) 333-9632

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Arcadio Rodriguez Rodriguez, O.T

Title

Owner

Phone

(408) 660-0120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1932424405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIVER PARK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111552",
            "telephone_number": "408-660-0120",
            "fax_number": "408-333-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIVER PARK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111552",
            "telephone_number": "408-660-0120",
            "fax_number": "408-333-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM REHAB BRACING AND MEDICAL SUPPLY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARCADIO",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-660-0120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101-555617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Cusanelli
• Bernard Cushing Jr.
• Peter Charles Cusimano, LAADC, MATS, SAP
• Kalen Damiano Cusseaux
• Katrina Surisantos Custodio
• Franklin Guia Cutaran, P.T.
• Peter Charles Cutler, D.D.S.
• Julie Kay Cutting, M.A.
• Cvhcare Corporation (CVHCare San Jose)
• Sonja Reed Cvitanich

• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.