Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mykala Jordan

Individual provider Physician Assistant · NPI 1710650940

Mykala Jordan is a Physician Assistant in San Diego, California. Qualified in 2021, 5 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
5
Licensed in
CA, IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone: (800) 926-5273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10 Martin Ave Ste 225, Naperville, IL 60540-6590 — (630) 355-5633
  • 1n463 Ingalton Ave, West Chicago, IL 60185-2022 — (619) 922-9693

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA63739 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085.008678 (IL)

Record details

NPI number1710650940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2021
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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