Healthcare Provider Details

I. General information

NPI: 1619091998
Provider Name (Legal Business Name): JAMES E CREEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E 3RD ST STE F
CALEXICO CA
92231-2854
US

IV. Provider business mailing address

408 E 3RD ST STE F
CALEXICO CA
92231-2854
US

V. Phone/Fax

Practice location:
  • Phone: 760-357-7700
  • Fax: 760-357-7709
Mailing address:
  • Phone: 760-357-7700
  • Fax: 760-357-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG23714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: