MR. CHARLES WILLIAM CROUSE CRT
NPI 1093846479
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Mateo, CA

Active since March 08, 2007
801 MAPLE ST, 801 MAPLE STREET, SAN MATEO, CA 94402(650) 347-1880 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles William Crouse Crt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES WILLIAM CROUSE CRT (NPI 1093846479) is an individual portable x-ray and/or other portable diagnostic imaging supplier provider in San Mateo, California, licensed in California (RHT3605) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1093846479
Entity TypeIndividualMale
Primary Taxonomy335V00000X
Provider Legal NameMR. CHARLES WILLIAM CROUSECredential: CRT
Location Address801 MAPLE ST, 801 MAPLE STREETSan Mateo, CA 94402-2302
Mailing Address801 Maple St, 801 Maple StreettSan Mateo, CA 94402-2302 · (650) 347-1880 · Fax (650) 342-8379
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 7, 2013
NPI 1093846479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code335V00000X
License Licensed in CA · RHT3605
Definition
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.
801 MAPLE ST, San Mateo, CA 94402

Other Identifiers 2

MedicaidZZZ31682ZCA
Medicare ID-Type UnspecifiedZZZ31682ZCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Crouse's NPI number?

The NPI number for Charles Crouse is 1093846479. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Charles Crouse located?

Charles Crouse practices at 801 Maple St 801 Maple Street, San Mateo, CA 94402. The listed phone number is (650) 347-1880.

What is Charles Crouse's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Charles Crouse was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.