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

Dalton Shevlin

Individual provider Medical Physician Assistant · NPI 1407646839

Dalton Shevlin is a Physician Assistant in San Clemente, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

905 Calle Amanecer Ste 115
San Clemente, CA 92673-6226
Phone: (194) 920-7360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1407646839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESFebruary 1, 2026
Certification dateFebruary 1, 2026
Mailing address1631 Doheny Way, Dana Point, CA 92629-5926

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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