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

Charlene Crockett, MD

Individual provider Ophthalmology Physician · NPI 1720379316

Charlene Crockett, MD is an Ophthalmology in Santa Rosa, California. Graduated from Baylor College of Medicine in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California, Georgia, Pennsylvania and Texas.

Years since qualifying
16
Trained at
Baylor College of Medicine
Licensed in
CA, GA, PA, TX
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3925 Old Redwood Hwy
Santa Rosa, CA 95403-1719
Phone: (707) 393-4033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 191905 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD459666 (PA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 75772 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence P9827 (TX)

Record details

NPI number1720379316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2011
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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