Michael Van Dyke , PA-C
Physician Assistant • Ukiah, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Van Dyke has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Michael Van Dyke, PA-C was a registered Physician Assistant practicing in Ukiah, CA. Throughout an active medical career spanning 19 years, Michael Van Dyke provided care at the practice location at 275 HOSPITAL DR until profile deactivation on 2026-04-30.
Practice Location & Contact Primary Location
275 Hospital Dr
Ukiah, CA 954824531
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Ukiah, CA
Practicing in Ukiah, CA (14617 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Advanced Practice Registered Nurse - Certified Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 30, 2026
NPI status registered as active in NPPES database
Registered at 275 HOSPITAL DR, UKIAH, CA 954824531 (Tel: 7074627900)
Registered at 142 RENZ LN, GEYSERVILLE, CA 954419581 (Tel: 7078574708)
Recorded as MICHAEL VAN DYKE, PA-C
Physician Assistant (License #PA12445 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
142 Renz Ln
Geyserville, CA 954419581
Phone: 7078574708
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