Active NPI
Aneela Jacob Sajan, FNP
- Family Nurse Practitioner
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN139919
- Practice address
- 12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021 - Phone
- (602) 698-7325
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN139919 | AZ | Primary |
Addresses
Primary practice location
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Mailing address
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 698-7325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z226704 | Other | AZ | MEDICARE |
| 504368 | Medicaid | AZ |
Other names 1
- Aneela Jacob
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Consultants LTD | Current | Accepting new patients | |
| National Cardiovascular Associates, LLC | Current | Accepting new patients | |
| Cardiovascular Consultants LTD | Current | Accepting new patients |
Locations
203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389
1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873
13620 N Saguaro Blvd
Ste 50
Fountain Hls, AZ 85268
Phone (480) 837-6800
5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698
18700 N 64th Dr
Ste 101
Glendale, AZ 85308
Phone (623) 561-6211
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577
14155 N 83rd Ave
Ste 136
Peoria, AZ 85381
Phone (623) 847-3884
19646 N 27th Ave
Phoenix, AZ 85027
Phone (602) 663-9371
9100 N 2nd St
Ste 321
Phoenix, AZ 85020
3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656
6036 N 19th Ave
Ste 312
Phoenix, AZ 85015
Phone (602) 246-5570
10210 N 92nd St
Ste 301
Scottsdale, AZ 85258
Phone (480) 391-0555
3501 N Scottsdale Rd
Ste 348
Scottsdale, AZ 85251
Phone (480) 874-0771
7970 E Thompson Peak Pkwy
Ste 101
Scottsdale, AZ 85255
Phone (480) 419-9033
12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Surprise, AZ
- NPI 1457989576
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1023073525
-
- Vascular & Interventional Radiology Physician
- Peoria, AZ
- NPI 1215509989
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1780145565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12361 W BOLA DR STE 100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789021",
"telephone_number": "602-698-7325",
"fax_number": "480-500-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12361 W BOLA DR STE 100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789021",
"telephone_number": "602-698-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJAN",
"first_name": "ANEELA",
"middle_name": "JACOB",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN139919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z226704",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504368",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANEELA",
"last_name": "JACOB",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.