Mr Kenneth J Vanderbeck, PA-C - Medicare Physician Assistant in Laguna Hills, CA

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Mr Kenneth J Vanderbeck, PA-C is a medicare enrolled "Physician Assistant - Medical" in Laguna Hills, California. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Jurkowski Medical Corporation, Two Zeds Medical Corporation and his current practice location is 23181 Verdugo Dr Ste 103a, Laguna Hills, California. You can reach out to his office (for appointments etc.) via phone at (949) 366-1053.

Mr Kenneth J Vanderbeck is licensed to practice in California (license number PA21190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144535220.

Contact Information

Mr Kenneth J Vanderbeck, PA-C
23181 Verdugo Dr Ste 103a,
Laguna Hills, CA 92653-1313
(949) 366-1053
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth J Vanderbeck
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location23181 Verdugo Dr Ste 103a, Laguna Hills, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kenneth J Vanderbeck graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1144535220
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 04/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446442644
  • Enrollment ID: I20120523000677

Medical Identifiers

Medical identifiers for Mr Kenneth J Vanderbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144535220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9105536 (Florida)Secondary
363AM0700XPhysician Assistant - Medical PA21190 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jurkowski Medical Corporation791115530416
Two Zeds Medical Corporation781029129114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kenneth J Vanderbeck allows following entities to bill medicare on his behalf.
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameHousecall Doctors Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033164017
PECOS PAC ID: 6103802855
Enrollment ID: O20040624001654
Entity NameEmergency and Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameAlvarado Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285811992
PECOS PAC ID: 0042396251
Enrollment ID: O20080328000280
Entity NameJurkowski Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750644258
PECOS PAC ID: 7911155304
Enrollment ID: O20120910000256
Entity NameClinic Services of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578958450
PECOS PAC ID: 7810209715
Enrollment ID: O20150707001394
Entity NamePacific Paradise Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780066076
PECOS PAC ID: 8628383544
Enrollment ID: O20150820010904
Entity NameTwo Zeds Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275909434
PECOS PAC ID: 7810291291
Enrollment ID: O20160204001332
Entity NameTeam Physicians of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth J Vanderbeck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth J Vanderbeck, PA-C
8765 Aero Dr, Suite 130,
San Diego, CA 92123

Ph: (858) 541-0181		Mr Kenneth J Vanderbeck, PA-C
23181 Verdugo Dr Ste 103a,
Laguna Hills, CA 92653-1313

Ph: (949) 366-1053

Reviews and Comments


Physician Assistant Nurses in Laguna Hills, CA

Mrs. Meredith Derby Harsh, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 23181 Verdugo Dr, Ste 103a, Laguna Hills, CA 92653
Phone: 949-366-1053    Fax: 949-916-7710
Robbin Gonzales, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 24411 Health Center Dr, Ste 350, Laguna Hills, CA 92653
Phone: 949-457-7900    
Liana Shahinyan,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 25979 Atherton Ave, Laguna Hills, CA 92653
Phone: 949-767-6801    
Tessa Gonzalez,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 24801 Clarington Dr, Laguna Hills, CA 92653
Phone: 949-436-3608    
Sangwook Han, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 23181 Verdugo Dr, Ste 103a, Laguna Hills, CA 92653
Phone: 800-964-4364    
Natalie Renee Terreri, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 24401 Health Center Drive, Suite 200, Laguna Hills, CA 92653
Phone: 657-241-8788    Fax: 657-276-4729
Lauren Mieko Lum,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653
Phone: 949-855-1101    Fax: 949-289-9171

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.