Individual provider · Type 1 NPI

Wyatt Ryan Colloty, PA-C

Physician Assistant · Colton, CA

NPI number 1093685372 Active

Practice location

400 N Pepper Ave
Colton, CA 92324-1801

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

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About NPI 1093685372

Wyatt Ryan Colloty, PA-C's National Provider Identifier is 1093685372, issued on Nov 11, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colton, CA. The record was last updated on Feb 19, 2026.