MR. KENNETH J VANDERBECK PA-C
NPI 1144535220
Physician Assistant - Medical in Laguna Hills, CA

Q: What is Kenneth Vanderbeck's NPI number?

The NPI number for Kenneth Vanderbeck is 1144535220. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Q: What is Kenneth Vanderbeck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment

23181 VERDUGO DR STE 103A, LAGUNA HILLS, CA 92653(949) 366-1053 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Kenneth J Vanderbeck Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH J VANDERBECK PA-C (NPI 1144535220) is an individual medical provider in Laguna Hills, California, licensed in California (PA21190) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144535220

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KENNETH J VANDERBECKCredential: PA-C

Location Address23181 VERDUGO DR STE 103ALaguna Hills, CA 92653-1313

Mailing Address8765 Aero Dr, Suite 130San Diego, CA 92123 · (858) 541-0181 · Fax (858) 430-0919

Phone(949) 366-1053

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 12, 2010

Last NPPES UpdateApril 29, 2022

NPPES CertifiedApril 29, 2022

✔ NPI 1144535220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA21190

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9105536 (FL)

23181 VERDUGO DR STE 103A, Laguna Hills, CA 92653

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Secondary Practice Location 1

Location 18765 Aero Dr, Suite 130San Diego, CA 92123 · Phone (858) 541-0181 · Fax (858) 430-0919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth J Vanderbeck Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446442644

PECOS Enrollment IDI20120523000677

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

27 services24 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

27 services26 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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