What is Jordan Poe's NPI number?

Jordan Poe's National Provider Identifier (NPI) is 1104779123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jordan Poe's specialty?

Jordan Poe is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Jordan Poe located?

Jordan Poe's practice location on file with NPPES is 35000 Guadalcanal St Bldg 596, San Diego, CA 92140-5599.

What is Jordan Poe's phone number?

The practice phone number listed in the NPPES registry for Jordan Poe is (619) 524-1565.

Is Jordan Poe's NPI active?

Yes — Jordan Poe's NPI (1104779123) is active in the NPPES registry as of the last update on 2026-02-18.

IndividualActive

Jordan Poe, PA-C

NPI 1104779123 · Physician Assistant · San Diego, CA

Jordan Poe, PA-C is a Physician Assistant provider in San Diego, CA (NPI 1104779123).

Provider details

NPI number: 1104779123
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

35000 Guadalcanal St Bldg 596

San Diego, CA 92140-5599

Phone: (619) 524-1565

Fax: (619) 524-0852

Approximate (ZIP-level) locationGet directions

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Mailing address