Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jordan A Bleecker, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154898062

Mr. Jordan A Bleecker, PA-C is a Student in an Organized Health Care Education/Training Program in Ventura, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

147 N Brent St
Ventura, CA 93003-2809
Phone: (805) 948-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Maccorkle Ave Se, Charleston, WV 25304-1045 — (204) 357-4710

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59589 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154898062
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 29, 2018
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

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