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

Dylan John Dekalb, PAC

Individual provider Physician Assistant · NPI 1477347466

Dylan John Dekalb, PAC is a Physician Assistant in Sacramento, California. Qualified in 2025, 1 year ago. Practices with Sacramento Ear Nose and Throat Surgical and Medical Group Inc, a 28-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1111 Exposition Blvd Bldg 700
Sacramento, CA 95815-4314
Phone: (916) 736-3399
Fax: (916) 736-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 67024 (CA)

Record details

NPI number1477347466
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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)
Group practice Sacramento Ear Nose And Throat Surgical And Medical Group Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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