Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charlene Crockett, MD

Ophthalmology Physician in Santa Rosa, CA · enumerated 2011 · practices at Kaiser Foundation Health Plan Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720379316

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Registry record

Entity type Individual (Type 1)

Name Charlene Crockett

Credential MD

Sex Female

Practice address 3925 Old Redwood Hwy, Santa Rosa, CA, 95403

Phone (707) 393-4033

Enumeration date Apr 29, 2011

Last updated in NPPES Dec 18, 2023

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License MD459666 (PA) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 75772 (GA) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License P9827 (TX) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 191905 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
349043503	Medicaid	TX	-
349043505	Medicaid	TX	-
349043504	Medicaid	TX	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Charlene Crockett's NPI record?

Cross-check NPI 1720379316 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1720379316 active?

Yes, as of the latest NPPES snapshot, NPI 1720379316 is active (record last updated 2023-12-18).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-18.