Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jesse A Jorgensen, PAC
Physician Assistant in Layton, UT · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1336130889
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Registry record
Entity type Individual (Type 1)
Name Mr. Jesse A Jorgensen
Credential PAC
Sex Male
Practice address 1580 W Antelope Dr, Suite 100, Layton, UT, 84041
Phone (801) 927-1632
Fax (801) 927-1591
Enumeration date Nov 3, 2005
Last updated in NPPES Oct 29, 2021
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA907 (NV) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA17883 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 6124415-1206 (UT) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505904 | Medicaid | NV | - |
| CC7683 | Other | NV | BCBS |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1336130889 active?
Yes, as of the latest NPPES snapshot, NPI 1336130889 is active (record last updated 2021-10-29).
How do I verify Jesse Jorgensen's NPI record?
Cross-check NPI 1336130889 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-29.