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

Patrick Tye Creasy, PA

Individual provider Medical Physician Assistant · NPI 1992000574

Patrick Tye Creasy, PA is a Medical Physician Assistant in Colton, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 E Washington St Ste 301
Colton, CA 92324-7111
Phone: (909) 370-0300
Fax: (909) 370-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21414 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA21414 (CA)

Record details

NPI number1992000574
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2011
Last updated in NPPESOctober 8, 2013
Mailing address900 E Washington St, Suite 301, Colton, CA 92324-7111

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