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DYLAN JOHN DEKALB PAC
NPI 1477347466
Physician Assistant in Sacramento, CA

Active since April 07, 2025PECOS EnrolledAccepts Medicare Assignment
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815(916) 736-3399(916) 736-3350 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan John Dekalb Pac NPPES

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

DYLAN JOHN DEKALB PAC (NPI 1477347466) is an individual physician assistant in Sacramento, California, licensed in California (67024) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477347466
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN JOHN DEKALBCredential: PAC
Location Address1111 EXPOSITION BLVD BLDG 700Sacramento, CA 95815-4314
Mailing Address1111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · (916) 736-3399 · Fax (916) 736-3350
Phone(916) 736-3399
Fax(916) 736-3350
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2025
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1477347466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 67024
Definition
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.
1111 EXPOSITION BLVD BLDG 700, Sacramento, CA 95815
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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 and accepts Medicare assignment

Dylan John Dekalb Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880186873
PECOS Enrollment IDI20251126001287
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

ALASIA FATE AU.D.
Audiologist
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
DAVID GOLDFARB PA
Physician Assistant
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
DR. ANNA PANA AUD
Audiologist
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
RACHEL TERRON
Audiologist
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
BRIANA HESTER AUD
Audiologist-Hearing Aid Fitter
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
DR. CATHERINE NOEL NUNEZ AUD
Audiologist
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
EVELYN KEATON N.P.
Nurse Practitioner (Acute Care)
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399
DR. DAVID A EVANS M.D.
Otolaryngology (Pediatric Otolaryngology)
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815
Sacramento County (916) 736-3399

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 Dekalb's NPI number?

The NPI number for Dylan Dekalb is 1477347466. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Dylan Dekalb located?

Dylan Dekalb practices at 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815. The listed phone number is (916) 736-3399.

What is Dylan Dekalb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan Dekalb enrolled in Medicare?

Yes. Dylan Dekalb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dylan Dekalb was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.