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

Mr. Robert Evan Crenshaw

Individual provider Physician Assistant · NPI 1770672925

Mr. Robert Evan Crenshaw is a Physician Assistant in Santa Rosa, California. Qualified in 2001, 25 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

401 Bicentennial Way Ste 120
Santa Rosa, CA 95403-2149
Phone: (707) 393-5580
Fax: (707) 393-4559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16184 (CA)

Record details

NPI number1770672925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESDecember 30, 2021
Mailing address401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa