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LAUREN KELLY CROSTIC PA-C
NPI 1215385448
Physician Assistant in Fontana, CA

Active since May 27, 2016PECOS Enrolled
16465 SIERRA LAKES PKWY, 300, FONTANA, CA 92336(909) 429-2864 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2018, Feb 22, 2017 (2 updates tracked since 2017).

About Lauren Kelly Crostic Pa-c NPPES

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

LAUREN KELLY CROSTIC PA-C (NPI 1215385448) is an individual physician assistant in Fontana, California, licensed in California (PA53720) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215385448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN KELLY CROSTICCredential: PA-C
Location Address16465 SIERRA LAKES PKWY, 300Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy, 300Fontana, CA 92336-1242 · (909) 429-2864
Phone(909) 429-2864
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1215385448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA53720
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16465 SIERRA LAKES PKWY, Fontana, CA 92336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Kelly Crostic Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365872314
PECOS Enrollment IDI20250811003717
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MOUNTAIN VIEW URGENT CARE GROUP, INC
Emergency Medicine
16465 SIERRA LAKES PKWY, SUITE 100
FONTANA, CA 92336
San Bernardino County (909) 434-1150
KATHRYN CHANG LIN MD
Pediatrics
16465 SIERRA LAKES PKWY, STE 245
FONTANA, CA 92336
San Bernardino County (909) 829-7337
ALAV MEDICAL CORPORATION
Family Medicine
16465 SIERRA LAKES PKWY, STE 220
FONTANA, CA 92336
San Bernardino County (909) 434-1123
DIANA M NAM MD
Pediatrics
16465 SIERRA LAKES PKWY, SUITE 250
FONTANA, CA 92336
San Bernardino County (909) 829-7337
TAMEEM HAZEM SABRY PA-C
Physician Assistant (Medical)
16465 SIERRA LAKES PKWY, STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
ASHAPURIMAA INC
Pharmacy (Community/Retail Pharmacy)
16465 SIERRA LAKES PKWY, STE 110
FONTANA, CA 92336
San Bernardino County (909) 574-9620
DR. MAGED FAYEZ IBRAHIM M.D.
Pediatrics
16465 SIERRA LAKES PKWY
FONTANA, CA 92336
San Bernardino County (909) 823-8000
LAUREN MATSUMOTO CPNP
Nurse Practitioner (Pediatrics)
16465 SIERRA LAKES PKWY
FONTANA, CA 92336
San Bernardino County (909) 823-8000

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 Lauren Crostic's NPI number?

The NPI number for Lauren Crostic is 1215385448. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Lauren Crostic located?

Lauren Crostic practices at 16465 Sierra Lakes Pkwy 300, Fontana, CA 92336. The listed phone number is (909) 429-2864.

What is Lauren Crostic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Crostic enrolled in Medicare?

Yes. Lauren Crostic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Crostic was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.