HOME PORTABLE X-RAY
NPI 1396920047
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Mateo, CA

Active since December 31, 2007
30 SO EL CAMINO REAL, SUITE 109, SAN MATEO, CA 94401(650) 347-1880(650) 342-8379 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Home Portable X-ray NPPES

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

HOME PORTABLE X-RAY (NPI 1396920047) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in San Mateo, California and active in the NPI registry since December 2007. The organization lists Charles Wm Crouse, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1396920047
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameHOME PORTABLE X-RAY
Location Address30 SO EL CAMINO REAL, SUITE 109San Mateo, CA 94401
Mailing Address801 Maple StSan Mateo, CA 94402 · (650) 703-9701 · Fax (650) 342-8379
Fax(650) 342-8379
Organization SubpartNo
Authorized OfficialCharles Wm CrouseOwner Operator · (650) 347-1880
Enumeration DateDecember 31, 2007
NPI 1396920047 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.

30 SO EL CAMINO REAL, San Mateo, CA 94401

Other Identifiers 3

OtherZZZ31682ZCA · Medicaid Prov Id
OtherZZZ31682ZCA · Medicare Prov Id
MedicaidZZZ31682ZCA

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 Home Portable X-Ray's NPI number?

The NPI number for Home Portable X-Ray is 1396920047. It was assigned to this organization in the NPPES registry on December 31, 2007.

Where is Home Portable X-Ray located?

Home Portable X-Ray is located at 30 So El Camino Real Suite 109, San Mateo, CA 94401. The listed phone number is (650) 347-1880.

What is Home Portable X-Ray'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 Home Portable X-Ray was last updated on December 31, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.