Individual provider Active NPI

Lyle Cook, PA

  • Physician Assistant
  • Indio, CA
National Provider Identifier
1316237498
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21576 Issued in CA
Practice address
44374 Palm St
Indio, CA 92201-3117
Phone
(760) 342-6616
Fax
(760) 347-8276
NPI assigned
Apr 11, 2011
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21576 CA Primary

Addresses

Primary practice location

44374 Palm St
Indio, CA 92201-3117

Mailing address

PO Box 6789
Chico, CA 95927-6789
Phone (530) 892-2300

Other practice location 1

45975 Fargo St Ste 1
Indio, CA 92201-4587
Phone (760) 209-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000604 CA Practitioner - Physician Assistant 1456529619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

68555 Ramon Rd
Cathedral City, CA 92234-3310
Phone (760) 507-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21576CAMDSpeech-Language Pathologist
PA21576CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Aug 30, 2015 Accepting new patients
St. Johns Community Health CurrentSince Aug 30, 2015 Accepting new patients
Dap Health, Inc. CurrentSince Feb 8, 2025 Accepting new patients
Dap Health, Inc. CurrentSince Feb 8, 2025 Accepting new patients
Comprehensive Renal Care, PC Past Accepting new patients
A.B.C. Recovery Center, Inc. Past Accepting new patients

Locations

58581 US Highway 371
Ste Fgh
Anza, CA 92539
Phone (951) 763-4759

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

Interoperability endpoints

  • Direct secure messaging: lcook684625@direct.ochin.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1316237498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6789",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959276789",
            "telephone_number": "530-892-2300",
            "fax_number": "530-894-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44374 PALM ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013117",
            "telephone_number": "760-342-6616",
            "fax_number": "760-347-8276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45975 Fargo St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922014587",
            "country_code": "US",
            "telephone_number": "760-209-5567",
            "fax_number": "866-811-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "LYLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.