Individual provider Active NPI

Anna Paula Vargas Jordan, PA-C

  • Surgical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1609794619
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
18699 N 67TH Ave Ste 120
Glendale, AZ 85308-7141
Phone
(623) 242-1231
NPI assigned
Jul 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X AZ Primary

Addresses

Primary practice location

18699 N 67TH Ave Ste 120
Glendale, AZ 85308-7141

Mailing address

18699 N 67TH Ave Ste 120
Glendale, AZ 85308-7141
Phone (623) 242-1231

Other practice location 1

2122 E Highland Ave Ste 100
Phoenix, AZ 85016-4740
Phone (623) 242-1231

Other practice location 2

13677 W McDowell Rd
Goodyear, AZ 85395-2600
Phone (623) 882-1500

Other practice location 3

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215
Phone (623) 242-1231

Other practice location 4

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1609794619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18699 N 67TH AVE STE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087141",
            "telephone_number": "623-242-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18699 N 67TH AVE STE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087141",
            "telephone_number": "623-242-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164740",
            "country_code": "US",
            "telephone_number": "623-242-1231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13677 W McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952600",
            "country_code": "US",
            "telephone_number": "623-882-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 N Litchfield Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951215",
            "country_code": "US",
            "telephone_number": "623-242-1231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18701 N 67th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087100",
            "country_code": "US",
            "telephone_number": "623-561-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS JORDAN",
        "first_name": "ANNA",
        "middle_name": "PAULA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.