Individual provider · Type 1 NPI

Jordan McKenzie Vandenberg, PA

Physician Assistant · Casa Grande, AZ

NPI number 1609359215 Active

Practice location

1828 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4783

Call (520) 876-4006 Map

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7283 (AZ)

Physician Assistant: 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, orde…

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About NPI 1609359215

Jordan McKenzie Vandenberg, PA's National Provider Identifier is 1609359215, issued on Sep 10, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jun 18, 2026.