Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Kelly Crostic, PA-C

Individual provider Physician Assistant · NPI 1215385448

Lauren Kelly Crostic, PA-C is a Physician Assistant in Fontana, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16465 Sierra Lakes Pkwy 300
Fontana, CA 92336-1242
Phone: (909) 429-2864
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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 PA53720 (CA)

Record details

NPI number1215385448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 27, 2016
Last updated in NPPESNovember 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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