Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Jason Vander Vorste, MS, ATC

Individual provider Athletic Trainer · NPI 1104431451

Alex Jason Vander Vorste, MS, ATC is an Athletic Trainer in Malibu, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

24255 Pacific Coast Hwy Pepperdine Athletics - Sports Medicine
Malibu, CA 90263
Phone: (310) 506-4169
Fax: (310) 506-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000017845 (CA)

Record details

NPI number1104431451
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

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