DALTON SHEVLIN
NPI 1407646839
Physician Assistant - Medical in San Clemente, CA
About Dalton Shevlin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALTON SHEVLIN (NPI 1407646839) is an individual medical provider in San Clemente, California and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dalton Shevlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN CLEMENTE, CA 92673
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 Dalton Shevlin's NPI number?
The NPI number for Dalton Shevlin is 1407646839. It was assigned to this individual provider in the NPPES registry on May 8, 2025.
Where is Dalton Shevlin located?
Dalton Shevlin practices at 905 Calle Amanecer Ste 115, San Clemente, CA 92673. The listed phone number is (194) 920-7360.
What is Dalton Shevlin's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dalton Shevlin enrolled in Medicare?
Yes. Dalton Shevlin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dalton Shevlin was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dalton Shevlin · NPI 1407646839
Medical physician in San Clemente, California. Individual provider, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1407646839 (Entity type: Individual)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 905 CALLE AMANECER STE 115, San Clemente, CA 92673-6226
- **Phone:** (194) 920-7360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407646839) · Data from the CMS NPPES public registry.