Individual provider Active NPI

Aneela Jacob Sajan, FNP

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1780145565
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN139919 Issued in AZ
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z226704OtherAZMEDICARE
504368MedicaidAZ

Other names 1

  • Aneela Jacob Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510002257 AZ Practitioner - Nurse Practitioner 8729321906 Reassigns benefits to 2 organizations

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
National Cardiovascular Associates LLCGroup PAC ID 7315362969, 16 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants LTD CurrentSince May 1, 2019 Accepting new patients
National Cardiovascular Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Cardiovascular Consultants LTD CurrentSince May 1, 2019 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.