Traci Lee Dyer, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

19684 Issued in CA

Practice address

24910 Las Brisas Road
Ste 105
Murrieta, CA 92562-4010

Phone

(951) 231-1385

Fax

(866) 345-3272

NPI assigned

Nov 7, 2011

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: traci.dyer.1@3408.direct.athenahealth.com

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

• Riverside Healthcare System, L.P.

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1376820266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28853 GALAXY WAY",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925863869",
            "telephone_number": "951-852-6653",
            "fax_number": "951-301-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS ROAD",
            "address_2": "STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-231-1385",
            "fax_number": "866-345-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "TRACI",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Duncan, LMFT
• Michael Allen Duncan
• Darcie Diane Dunlop, LMFT
• Veronica Duplessis
• Rondey De Wayne Dupree
• Carla Dykes, MA
• Dynamic Motion Physical Therapy Inc
• Dzenan Lulic, M.D., a Medical Corporation
• Lydia Eakes
• Sherice Earl

• Medical Physician Assistant in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.