Alex Jason Vander Vorste, MS, ATC

Athletic Trainer · Malibu, CA

Individual Active NPI

NPI number 1104431451

Practice location

24255 Pacific Coast Hwy
Pepperdine Athletics - Sports Medicine
Malibu, CA 90263
Phone
(310) 506-4169
Fax
(310) 506-4424

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NPI record

NPI
1104431451
Entity type
Individual (Type 1)
Enumeration date
September 14, 2020
Last updated
September 14, 2020
Certified
September 14, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000017845 CA

About Alex Vander Vorste

Alex Jason Vander Vorste, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 24255 Pacific Coast Hwy, Pepperdine Athletics - Sports Medicine, Malibu, CA 90263. The NPI number 1104431451 was assigned on September 14, 2020 and the record was last updated on September 14, 2020.

Alex Vander Vorste lists a license in the registry: #2000017845 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alex Jason Vander Vorste, MS, ATC?

The NPI number is 1104431451.

What is the phone number of Alex Vander Vorste?

The phone number listed for the practice location is (310) 506-4169.

Where is Alex Vander Vorste located?

24255 Pacific Coast Hwy, Pepperdine Athletics - Sports Medicine, Malibu, CA 90263.

What is the taxonomy code for Alex Vander Vorste?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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