Individual provider Active NPI

Dylan T Neal

  • Physician Assistant
  • Rocklin, CA
National Provider Identifier
1457024606
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60150 Issued in CA
Practice address
2203 Plaza Dr Ste 110
Rocklin, CA 95765-4427
Phone
(916) 208-3277
NPI assigned
Jul 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60150 CA Primary

Addresses

Primary practice location

2203 Plaza Dr Ste 110
Rocklin, CA 95765-4427

Mailing address

2203 Plaza Dr Ste 110
Rocklin, CA 95765-4427
Phone (916) 208-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223001236 CA Practitioner - Physician Assistant 8426442146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chacon BNK PCGroup PAC ID 6800332800, 5 clinicians

Practice addresses (Care Compare)

2203 Plaza Dr
Suite 110
Rocklin, CA 95765-4427
Phone (916) 938-2531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60150CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Dermatology Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients

Locations

2107 Airpark Dr
Redding, CA 96001
Phone (530) 241-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCEDD/Endpoint/HJCEDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1457024606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 PLAZA DR STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654427",
            "telephone_number": "916-208-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 PLAZA DR STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654427",
            "telephone_number": "916-208-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DYLAN",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.