Active NPI
Lyle Cook, PA
- Physician Assistant
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21576
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21576 | CA | MD | Speech-Language Pathologist |
| PA21576 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Dap Health, Inc. | Current | Accepting new patients | |
| Dap Health, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1699471482
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
-
dba DAP Health-Anza Community Health Center
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1942623657
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1174225429
-
dba ABC Recovery Center
- Substance Abuse Rehabilitation Facility
- Indio, CA
- NPI 1881788503
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1861827305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.