DR. JARED RAY EDWARDS MD
NPI 1457905853
Radiology - Diagnostic Radiology in San Diego, CA

Active since July 24, 2019PECOS Enrolled
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-8666 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 14, 2026, Aug 16, 2022, Aug 12, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Jared Ray Edwards Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JARED RAY EDWARDS MD (NPI 1457905853) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A204047) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457905853
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JARED RAY EDWARDSCredential: MD
Location Address34800 BOB WILSON DRSan Diego, CA 92134-3011
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (619) 532-8666
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2019
Last NPPES UpdateMarch 14, 20266 updates tracked since enumeration
NPPES CertifiedMarch 14, 2026
✔ NPI 1457905853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A204047
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
34800 BOB WILSON DR, San Diego, CA 92134

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared Ray Edwards Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698231439
PECOS Enrollment IDI20260731000831
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Edwards's NPI number?

The NPI number for Jared Edwards is 1457905853. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Jared Edwards located?

Jared Edwards practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-8666.

What is Jared Edwards's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jared Edwards enrolled in Medicare?

Yes. Jared Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Edwards was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.