JESSICA DAHLIN P.A.
NPI 1083963805
Physician Assistant - Surgical in Modesto, CA

Q: What is Jessica Dahlin's NPI number?

The NPI number for Jessica Dahlin is 1083963805. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Q: What is Jessica Dahlin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Dahlin was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 07, 2012PECOS Enrolled

1700 COFFEE RD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Dahlin P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DAHLIN P.A. (NPI 1083963805) is an individual surgical provider in Modesto, California, licensed in California (PA22334) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083963805

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJESSICA DAHLINCredential: P.A.

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address3300 Webster St Ste 500Oakland, CA 94609-3149 · (510) 465-6600 · Fax (510) 839-0806

Phone(209) 526-4500

Sole ProprietorNo

Enumeration DateSeptember 7, 2012

Last NPPES UpdateDecember 28, 2021

✔ NPI 1083963805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA22334

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA22334 (CA)

1700 COFFEE RD, Modesto, CA 95355

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Dahlin P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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