JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION (NPI# 1841440419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841440419 |
| Entity Type | Organization |
| Organization Name | JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION |
| Practice Address |
591 Camino De La Reina Suite #820 San Diego CA 92108-3102 |
| Practice Telephone | 8586779222 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | DR. JASON KORNBERG (C.E.O.) |
| Authorized Official Telephone | 8586779222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
A79691 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
A79691 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A79691 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
591 CAMINO DE LA REINA SUITE #820 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648380 | Western Health Resources | Home Health | 591 Camino De La Reina, Suite 1010 A, San Diego, CA 92108-3102 | 2005-12-05 |
| 1275085789 | Omar M Alhassoon | Clinical Neuropsychologist | 591 Camino De La Reina, Suite 1217, San Diego, CA 92108-3102 | 2016-11-01 |
| 1457674699 | David James Bainer | Dentist | 591 Camino De La Reina, Suite 412, San Diego, CA 92108-3102 | 2010-03-02 |
| 1336329135 | Jon William Cassell | Dentist | 591 Camino De La Reina, Suite 412, San Diego, CA 92108-3102 | 2007-11-08 |
| 1386839686 | Susan Reeder Graf-cote | Marriage & Family Therapist | 591 Camino De La Reina, Suite 918, San Diego, CA 92108-3102 | 2007-09-10 |
| 1174671325 | Richard Kastanias Sr. | Marriage & Family Therapist | 591 Camino De La Reina, Suite 918, San Diego, CA 92108-3102 | 2007-01-06 |
| 1710050711 | Linda Hammond | Marriage & Family Therapist | 591 Camino De La Reina, Ste. 918, San Diego, CA 92108-3102 | 2006-11-16 |
| 1073685764 | Jason R. Kornberg | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2006-11-15 |
| 1770667024 | Gaylia D. Brown | Psychologist | 591 Camino De La Reina, Suite 318, San Diego, CA 92108-3102 | 2006-10-24 |
| 1891887238 | Catherine Dianne Moore | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.