Dylan C Creamer, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

200002964 Issued in CA

Practice address

3250 Palm Ave
San Diego, CA 92154-1507

Phone

(619) 917-3611

NPI assigned

Jan 4, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1740797307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 REED AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095107",
            "telephone_number": "619-917-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541507",
            "telephone_number": "619-917-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAMER",
        "first_name": "DYLAN",
        "middle_name": "C",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "200002964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CRC Health Group
• CRC Health Group, Inc
• CRC Home Avenue Clinic
• Alexis Crea
• Christina Creamer
• Create Wellbeing Family Therapy Collective
• Anna Creed
• Jennifer Creeden, RBT
• Justin Fortune Creeden, MD-PHD
• Kristin Rose Creel, MD

• Sports Medicine (Emergency Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.