Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYKALA JORDAN
Active Sole ProprietorMYKALA JORDAN is a Surgical Physician Assistant healthcare provider located in SAN DIEGO, California. NPI 1710650940 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1710650940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2021 (5.0797151327989 yrs)
- Last Updated
- Nov 21, 2025
- Licenses
-
085.008678 (IL)PA63739 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6655 ALVARADO RDSAN DIEGO, CA, 921205208Browse CA providers · Browse ZIP 92120
- Phone
- 8009265273
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLEE J KNOX | PA-C | 1619974623 |
| MRS. LAURA HANZLIK | P.A.-C. | 1497727655 |
| MR. RAFAEL PEREZ JR. | PA-C | 1548232697 |
| MR. PATRICK MICHAEL KEARNEY | PA-C | 1780656710 |
| MR. BRIAN JOSEPH O'NEILL | OPA-C | 1396719779 |
| KEITH PAYNE | PA-C | 1962478685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.