Active NPI
Brian Paul Hauser, M.D.
- Family Medicine Physician
- Aliso Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C136227
- Practice address
- 24541 Pacific Park Dr Ste 210
Aliso Viejo, CA 92656-3050 - Phone
- (949) 940-5440
- NPI assigned
- Jan 26, 2006
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-15199 | ID | |
| Family Medicine Physician | 207Q00000X | C136227 | CA | Primary |
Addresses
Primary practice location
24541 Pacific Park Dr Ste 210
Aliso Viejo, CA 92656-3050
Mailing address
10 Calle de Las Sonatas
Rancho Santa Margarita, CA 92688-2885
Phone (949) 940-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB237230 | Other | CA | MEDPCARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C136227 | CA | MD | Family Medicine Physician |
| M-15199 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Family Medicine | Current | Accepting new patients |
| Kneibert Clinic LLC | Family Medicine | Past | Accepting new patients |
| Wayne Medical Center, L.L.C. | Past | Accepting new patients | |
| Functional Medicine of Idaho PC | Family Medicine | Past | Accepting new patients |
| Floyd Healthcare Management Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
26991 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 393-5426
Interoperability endpoints
- brian.hauser@3141477138436.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Floyd Specialty Pharmacy
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Family Medicine Physician
- Boise, ID
- NPI 1336656040
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
-
- Clinic/Center
- Piedmont, MO
- NPI 1114901527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1982674438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CALLE DE LAS SONATAS",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882885",
"telephone_number": "949-940-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24541 PACIFIC PARK DR STE 210",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563050",
"telephone_number": "949-940-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "BRIAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-15199",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C136227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPCARE PTAN",
"identifier": "CB237230",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
"affiliation": "Y",
"endpointDescription": "MemorialCare FHIR Endpoint",
"affiliationName": "MemorialCare Medical Foundation",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "17360 Brookhurst St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.