MYKALA JORDAN
NPI 1710650940
Physician Assistant - Surgical in San Diego, CA
About Mykala Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYKALA JORDAN (NPI 1710650940) is an individual surgical provider in San Diego, California, licensed in California (PA63739) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mykala Jordan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mykala Jordan's NPI number?
The NPI number for Mykala Jordan is 1710650940. It was assigned to this individual provider in the NPPES registry on July 25, 2021.
Where is Mykala Jordan located?
Mykala Jordan practices at 6655 Alvarado Rd, San Diego, CA 92120. The listed phone number is (800) 926-5273.
What is Mykala Jordan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mykala Jordan enrolled in Medicare?
Yes. Mykala Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mykala Jordan was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mykala Jordan · NPI 1710650940
Surgical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 25, 2021.
## Identity
- **NPI:** 1710650940 (Entity type: Individual)
- **Enumerated:** July 25, 2021
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA63739 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6655 ALVARADO RD, San Diego, CA 92120-5208
- **Phone:** (800) 926-5273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710650940) · Data from the CMS NPPES public registry.