Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Casa Grande Family Practice LLC

Organization Medical Physician Assistant · NPI 1326962101

Casa Grande Family Practice LLC provides Medical Physician Assistant services in Casa Grande, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

580 N Camino Mercado Ste 24
Casa Grande, AZ 85122-5757
Phone: (801) 310-0819
Fax: (801) 310-0819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1326962101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Jackson — Owner · (801) 310-0819
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address580 N Camino Mercado Ste 24, Casa Grande, AZ 85122-5757

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