MR. CHARLES WILLIAM CROUSE CRT NPI 1093846479

NPI Information

  • NPI: 1093846479
  • Provider Name: MR. CHARLES WILLIAM CROUSE, CRT
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Individual
  • Address: 801 MAPLE ST
    801 MAPLE STREET
    SAN MATEO, CA
    ZIP 94402
  • Phone: (650) 347-1880

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NPI Details

MR. Charles William Crouse, CRT is a portable x ray and or other portable diagnostic imaging supplier in San Mateo, CA. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. MR. Charles William Crouse, CRT NPI is 1093846479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 MAPLE ST
801 MAPLE STREET
SAN MATEO, CA
ZIP 94402-302
Phone: (650) 347-1880

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierRHT3605CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ31682ZMEDICAIDCALIFORNIA
2ZZZ31682ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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