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

Mr. Kenneth J Vanderbeck, PA-C

Individual provider Physician Assistant · NPI 1144535220

Mr. Kenneth J Vanderbeck, PA-C is a Physician Assistant in Laguna Hills, California. Qualified in 2010, 16 years ago. Practices with Jurkowski Medical Corporation, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
16
Licensed in
CA, FL
In the registry since
2010
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

23181 Verdugo Dr Ste 103A
Laguna Hills, CA 92653-1313
Phone: (949) 366-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8765 Aero Dr, San Diego, CA 92123 — (858) 541-0181

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21190 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA9105536 (FL)

Record details

NPI number1144535220
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Jurkowski Medical Corporation — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laguna Hills