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JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION
NPI 1841440419
Psychiatry & Neurology - Psychiatry in La Jolla, CA

Active since September 19, 2008
3252 HOLIDAY CT STE 205, LA JOLLA, CA 92037(858) 677-9222 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, May 17, 2023 (2 updates tracked since 2023).

About Jason R. Kornberg, M.d., A Professional Corporation NPPES

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

JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION (NPI 1841440419) is a healthcare organization registered as a psychiatry in La Jolla, California and active in the NPI registry since September 2008. The organization lists Jason Kornberg, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1841440419
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameJASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION
Location Address3252 HOLIDAY CT STE 205La Jolla, CA 92037-1808
Mailing AddressPo Box 12008La Jolla, CA 92039-2008 · (858) 677-9222
Phone(858) 677-9222
Organization SubpartNo
Authorized OfficialJason KornbergC.e.o. · (858) 677-9222
Enumeration DateSeptember 19, 2008
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1841440419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A79691
Definition
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.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License A79691 (CA)
Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License A79691 (CA)
3252 HOLIDAY CT STE 205, La Jolla, CA 92037
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason R. Kornberg, M.d., A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason R. Kornberg, M.D., A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Kornberg, M.D.
Psychiatry
NPI 1073685764
3252 HOLIDAY CT STE 205
La Jolla, CA 92037
(858) 677-9222
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jason R. Kornberg, M.D., A Professional Corporation's NPI number?

The NPI number for Jason R. Kornberg, M.D., A Professional Corporation is 1841440419. It was assigned to this organization in the NPPES registry on September 19, 2008.

Where is Jason R. Kornberg, M.D., A Professional Corporation located?

Jason R. Kornberg, M.D., A Professional Corporation is located at 3252 Holiday Ct Ste 205, La Jolla, CA 92037. The listed phone number is (858) 677-9222.

What is Jason R. Kornberg, M.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jason R. Kornberg, M.D., A Professional Corporation enrolled in Medicare?

Yes. Jason R. Kornberg, M.D., A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jason R. Kornberg, M.D., A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Jason R. Kornberg, M.D., A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jason R. Kornberg, M.D., A Professional Corporation was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.