Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallin Peterson

Individual provider Physician Assistant · NPI 1801564448

Dallin Peterson is a Physician Assistant in Murray, Utah. Qualified in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
4
Licensed in
CA, UT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5169 S Cottonwood St Ste 640
Murray, UT 84107-6771
Phone: (801) 507-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11201 Benton St, Loma Linda, CA 92357-1000 — (909) 825-7084
  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14172614-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA61843 (CA)

Record details

NPI number1801564448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address11201 Benton St, Loma Linda, CA 92357-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Murray