Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CASA GRANDE FAMILY PRACTICE LLC
NPI 1326962101
Physician Assistant - Medical in Casa Grande, AZ

Q: What is Casa Grande Family Practice LLC's NPI number?

The NPI number for Casa Grande Family Practice LLC is 1326962101. It was assigned to this organization in the NPPES registry on August 5, 2026.

Q: What is Casa Grande Family Practice LLC's specialty?

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

Active since August 05, 2026

580 N CAMINO MERCADO STE 24, CASA GRANDE, AZ 85122(801) 310-0819(801) 310-0819 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Casa Grande Family Practice Llc NPPES

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

CASA GRANDE FAMILY PRACTICE LLC (NPI 1326962101) is a healthcare organization registered as a medical in Casa Grande, Arizona and active in the NPI registry since August 2026. The organization lists Russell Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1326962101

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameCASA GRANDE FAMILY PRACTICE LLC

Location Address580 N CAMINO MERCADO STE 24Casa Grande, AZ 85122-5757

Mailing Address580 N Camino Mercado Ste 24Casa Grande, AZ 85122-5757 · (801) 310-0819 · Fax (801) 310-0819

Phone(801) 310-0819

Fax(801) 310-0819

Organization SubpartNo

Authorized OfficialRussell JacksonOwner · (801) 310-0819

Enumeration DateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1326962101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

580 N CAMINO MERCADO STE 24, Casa Grande, AZ 85122

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casa Grande Family Practice LLC's NPI number?

The NPI number for Casa Grande Family Practice LLC is 1326962101. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Casa Grande Family Practice LLC located?

Casa Grande Family Practice LLC is located at 580 N Camino Mercado Ste 24, Casa Grande, AZ 85122. The listed phone number is (801) 310-0819.

What is Casa Grande Family Practice LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Casa Grande Family Practice LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.