Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Robert Pettit MD a Medical Corporation

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1316268386

Charles Robert Pettit MD a Medical Corporation is an Otolaryngology/Facial Plastic Surgery Physician in Santa Rosa, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

175 Concourse Blvd
Santa Rosa, CA 95403-8217
Phone: (707) 284-9200
Fax: (707) 284-9204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X

Record details

NPI number1316268386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Pettit — President · (707) 843-3999
NPI enumeratedJune 14, 2010
Last updated in NPPESAugust 14, 2015
Mailing address3906 Heathfield Pl, Santa Rosa, CA 95404-7627

Other providers in Santa Rosa