OrganizationActive
Charles Robert Pettit MD a Medical Corporation
NPI 1316268386 · Otolaryngology/Facial Plastic Surgery Physician · Santa Rosa, CA
Provider details
- NPI number
- 1316268386
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Pettit, President(707) 843-3999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
175 Concourse Blvd
Santa Rosa, CA 95403-8217
Phone: (707) 284-9200
Fax: (707) 284-9204
Street-level locationGet directions
Mailing address
3906 Heathfield Pl
Santa Rosa, CA 95404-7627
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2015-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.