Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154898062 Individual Practitioner Male Practitioner

Jordan A Bleecker , PA-C

Physician Assistant • Ventura, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jordan Bleecker, PA-C is a registered healthcare professional specializing in Physician Assistant in Ventura, CA. Official NPI practice address is registered at 147 N BRENT ST.

Practice Location & Contact Primary Location

Practice Address

147 N Brent St

Ventura, CA 930032809

Telephone 8059488277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ventura, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
61 Specialists

Practicing in Ventura, CA (14617 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 59589

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2300 Maccorkle Ave Se

Charleston, WV 253041045

Phone: 2043574710

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Daniel Asay , MD

Anesthesiology

NPI 1013141753

Doctor of Medicine (M.D.)

Dr. Cory Gall , DO

Student in an Organized Health Care Education/Training Program

NPI 1013594787

Doctor of Osteopathic Medicine (D.O.)

Dr. Ethan Lieberman , MD

Internal Medicine

NPI 1013650951

Doctor of Medicine (M.D.)

Dr. Breanna Caywood , DO

Student in an Organized Health Care Education/Training Program

NPI 1023850633

Doctor of Osteopathic Medicine (D.O.)

Sherose Renck , MS CCC-SLP

Speech-Language Pathologist

NPI 1033008784

MSCCCSLP

Dr. Ali Esmaili , MD

Internal Medicine

NPI 1033390562

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 13, 2021

Registered at 147 N BRENT ST, VENTURA, CA 930032809 (Tel: 8059488277)

📍
Updated Business Mailing Address August 13, 2021

Registered at 147 N BRENT ST, VENTURA, CA 930032809 (Tel: 8059488277)

👤
Provider Name / Credentials Updated August 13, 2021

Recorded as JORDAN BLEECKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Physician Assistant (License #59589 in CA)

NPI Profile Active October 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2018

Registered at 2300 MACCORKLE AVE SE, CHARLESTON, WV 253041045 (Tel: 2043574710)

📍
Updated Business Mailing Address October 29, 2018

Registered at 1021 WILKIE DR # 2, CHARLESTON, WV 253141722 (Tel: 8054507619)

👤
Provider Name / Credentials Updated October 29, 2018

Recorded as JORDAN BLEECKER, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154898062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2018
Last Update: August 13, 2021
Sole Proprietor: Yes

Mailing Address

147 N Brent St

Ventura, CA 930032809

Phone: 8059488277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.