JORDAN MULLEN PA-S
NPI 1073296778
Obstetrics & Gynecology in San Diego, CA

Q: What is Jordan Mullen's NPI number?

The NPI number for Jordan Mullen is 1073296778. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Jordan Mullen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mullen was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2023PECOS Enrolled

9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-7950 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2025, Aug 9, 2023 (2 updates tracked since 2023).

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About Jordan Mullen Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN MULLEN PA-S (NPI 1073296778) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (65831) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073296778

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJORDAN MULLENCredential: PA-S

Location Address9055 BALBOA AVESan Diego, CA 92123-1509

Mailing Address9055 Balboa AveSan Diego, CA 92123-1509 · (303) 594-5413

Phone(619) 849-7950

Sole ProprietorNo

Enumeration DateAugust 9, 2023

Last NPPES UpdateMarch 15, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1073296778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · 65831

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9055 BALBOA AVE, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Mullen Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ANN CHAMBERS

Student in an Organized Health Care Education/Training Program