Active NPI
Mykala Jordan
- Surgical Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA63739
- Practice address
- 6655 Alvarado Rd
San Diego, CA 92120-5208 - Phone
- (800) 926-5273
- NPI assigned
- Jul 25, 2021
- Last updated
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.008678 | IL | |
| Surgical Physician Assistant | 363AS0400X | PA63739 | CA | Primary |
Addresses
Primary practice location
6655 Alvarado Rd
San Diego, CA 92120-5208
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
10 Martin Ave Ste 225
Naperville, IL 60540-6590
Phone (630) 355-5633
Other practice location 2
1N463 Ingalton Ave
West Chicago, IL 60185-2022
Phone (619) 922-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (858) 249-6753
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63739 | CA | MD | Pharmacist |
| 085.008678 | IL | MD | Physician Assistant |
| PA63739 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Multi-Specialty | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Regents of the University of California | Multi-Specialty | Current | Accepting new patients |
| Regents of the University of California | Multi-Specialty | Current | Accepting new patients |
| Regents of the University of California | Multi-Specialty | Current | Accepting new patients |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Multi-Specialty | Current | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Multi-Specialty | Past | Accepting new patients |
Locations
File 57326
Los Angeles, CA 90074
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
8010 Frost St
Fl 2
San Diego, CA 92123
Phone (800) 827-4277
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
10 Martin Ave
Ste 225
Naperville, IL 60540
Phone (630) 284-9118
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- San Diego, CA
- NPI 1740382993
Multi-Specialty
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
- Psychiatry Physician
- San Diego, CA
- NPI 1508968967
Multi-Specialty
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Naperville, IL
- NPI 1831149889
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Multi-Specialty
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1710650940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 ALVARADO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205208",
"telephone_number": "800-926-5273"
}
],
"practiceLocations": [
{
"address_1": "10 Martin Ave Ste 225",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605406590",
"country_code": "US",
"telephone_number": "630-355-5633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1N463 Ingalton Ave",
"address_purpose": "LOCATION",
"city": "West Chicago",
"state": "IL",
"postal_code": "601852022",
"country_code": "US",
"telephone_number": "619-922-9693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "MYKALA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-25",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008678",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA63739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.