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

Casa Grande Family Practice LLC

Organization Medical Physician Assistant · NPI 1326962101

Casa Grande Family Practice LLC is a Medical Physician Assistant in Casa Grande, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

580 N Camino Mercado Ste 24
Casa Grande, AZ 85122-5757
Phone: (801) 310-0819
Fax: (801) 310-0819
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 number1326962101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Jackson — Owner · (801) 310-0819
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address580 N Camino Mercado Ste 24, Casa Grande, AZ 85122-5757

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