DR. DYLAN L BELLAVANCE DO
NPI 1013414507
Family Medicine in Larkspur, CA
About Dr. Dylan L Bellavance Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DYLAN L BELLAVANCE DO (NPI 1013414507) is an individual family medicine provider in Larkspur, California, licensed in California (20A19053) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of Texas At Austin Dell Medical School (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dylan L Bellavance Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dylan Bellavance reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94111
- Reassigned Medicare billing, California enrollment
- 291 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LARKSPUR, CA 94939
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dylan Bellavance's NPI number?
The NPI number for Dylan Bellavance is 1013414507. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is Dylan Bellavance located?
Dylan Bellavance practices at 5 Bon Air Rd Ste 117, Larkspur, CA 94939. The listed phone number is (415) 448-1500.
What is Dylan Bellavance's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dylan Bellavance enrolled in Medicare?
Yes. Dylan Bellavance is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dylan Bellavance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Bellavance reassigns Medicare benefits to 2 organizations: One Medical Group, Inc. (San Francisco, CA) and Carbon Health Medical Group Of California PC (Berkeley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Bellavance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dylan Bellavance was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dylan L Bellavance, DO · NPI 1013414507
Family Medicine physician in Larkspur, California. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1013414507 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A19053 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 BON AIR RD STE 117, Larkspur, CA 94939-1138
- **Phone:** (415) 448-1500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): One Medical Group, Inc. (NPI 1467781641, San Francisco, CA); Carbon Health Medical Group Of California PC (NPI 1417294232, Berkeley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas At Austin Dell Medical School, class of 2018
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013414507) · Data from the CMS NPPES public registry.