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

Jordan Legge

Individual provider Surgical Physician Assistant · NPI 1275380446

Jordan Legge is a Physician Assistant in Rocklin, California. Qualified in 2024, 2 years ago. Practices with Physician Assistant Surgical Assist Inc, a 34-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

6520 Lonetree Blvd # 2009
Rocklin, CA 95765-5874
Phone: (925) 600-0193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1275380446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address1865 Alburn Pl, El Dorado Hills, CA 95762-5361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physician Assistant Surgical Assist Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rocklin