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DR. DAVID SHAN CROCKETT MD
NPI 1376605535
Psychiatry & Neurology - Geriatric Psychiatry in Hollister, CA

Active since December 14, 2006
911 SUNSET DR, HOLLISTER, CA 95023(831) 637-5771(831) 638-9040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Shan Crockett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID SHAN CROCKETT MD (NPI 1376605535) is an individual geriatric psychiatry provider in Hollister, California, licensed in California (G21002) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1376605535
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. DAVID SHAN CROCKETTCredential: MD
Location Address911 SUNSET DRHollister, CA 95023-5602
Mailing Address1745 San Felipe Rd Ste 1Hollister, CA 95023-2540 · (831) 636-1884 · Fax (831) 636-1775
Phone(831) 637-5771
Fax(831) 638-9040
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376605535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in CA · G21002
Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

911 SUNSET DR, Hollister, CA 95023
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Other Identifiers 1

Medicare ID-Type Unspecified00G210022CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABILAN RADIOLOGY MEDICAL GROUP
Radiology (Diagnostic Radiology)
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2650
SUSANA FRASHER PA
Physician Assistant
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2640
ROBERT J TREMBLAY NP
Nurse Practitioner
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2640
THOMAS H ZDIMAL PA
Physician Assistant
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2640
LORI A KRAUS PA
Physician Assistant
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2664
FLORENCE LIN, M.D. INC.
Anesthesiology
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-2677
ACE ANESTHESIA GROUP INC
Anesthesiology
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 637-5711
MS. SANAZ MOLAVI UNDERWOOD FNP,MSN,PHD
Nurse Practitioner
911 SUNSET DR
HOLLISTER, CA 95023
San Benito County (831) 636-8934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Crockett's NPI number?

The NPI number for David Crockett is 1376605535. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is David Crockett located?

David Crockett practices at 911 Sunset Dr, Hollister, CA 95023. The listed phone number is (831) 637-5771.

What is David Crockett's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for David Crockett was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.