Active NPI
Eugene Crowther
- Peer Specialist
- San Bernardino, CA
National Provider Identifier
1588855092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 939 N D St
San Bernardino, CA 92410-3519 - Phone
- (909) 889-6519
- NPI assigned
- Aug 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
939 N D St
San Bernardino, CA 92410-3519
Mailing address
PO Box 2633
San Bernardino, CA 92406-2633
Phone (909) 202-7721
Other practice location 1
916 N Mountain Ave
Suite A
Upland, CA 91786-3697
Phone (909) 932-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Valley Recovery Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1427464429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1588855092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2633",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924062633",
"telephone_number": "909-202-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103519",
"telephone_number": "909-889-6519"
}
],
"practiceLocations": [
{
"address_1": "916 N Mountain Ave",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917863697",
"country_code": "US",
"telephone_number": "909-932-1069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROWTHER",
"first_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.