Individual provider Active NPI

Darrel Dyas, PA-C, ATC

  • Physician Assistant
  • Palmdale, CA
National Provider Identifier
1427420405
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68802 Issued in CA
Practice address
41250 12TH St W Ste C
Palmdale, CA 93551-1444
Phone
(855) 522-3682
Fax
(323) 268-6738
NPI assigned
Oct 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000006936 CA
Physician Assistant 363A00000X PA68802 CA Primary

Addresses

Primary practice location

41250 12TH St W Ste C
Palmdale, CA 93551-1444

Mailing address

41250 12TH St W Ste C
Palmdale, CA 93551-1444
Phone (855) 522-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000006936CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Trenkle DO a Professional Medical Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1427420405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "855-522-3682",
            "fax_number": "323-268-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "855-522-3682",
            "fax_number": "323-268-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAS",
        "first_name": "DARREL",
        "name_prefix": "Mr.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000006936",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.