Individual provider Active NPI

Jeremy Kuniyoshi, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1124212667
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A76172 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(619) 543-2218
NPI assigned
Aug 28, 2007
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD14763 HI
Diagnostic Radiology Physician 2085R0202X A76172 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A76172 CA

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other identifiers 6

IdentifierTypeStateIssuer
1124212667MedicaidHI
00A0275626OtherHIHMSA
0000275628OtherHIHMSA
MD14763OtherQUEENS HEALTHCARE
03551147OtherHIUHA
20124380OtherHIUS DEPT OF LABOR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013002930 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1658460274 Reassigns benefits to 20 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Chicago, Pritzker School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

3200 Telegraph Ave
Oakland, CA 94609-3016
Phone (510) 663-1950

3450 Hillcrest Ave
Antioch, CA 94531-8238
Phone (925) 757-2100

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14763HIMDDiagnostic Radiology Physician
A76172CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 6, 2018 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Sep 5, 2017 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 6, 2018 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince May 19, 2018 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince May 19, 2018 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Sep 5, 2017 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Mar 19, 2019 Accepting new patients
Lompoc Valley Medical Center CurrentSince Aug 31, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Feb 4, 2019 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2025 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 23, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 23, 2019 Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Jun 1, 2019 Accepting new patients
Pacific Radiology Group Inc Diagnostic Radiology Past Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Heartland Imaging Specialists LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 59)

3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

1401 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 691-6432

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

Organizations & group practices 32

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 32

Hospital & facility affiliations 7

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1124212667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-543-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIYOSHI",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD14763",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A76172",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A76172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124212667",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0275626",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000275628",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS HEALTHCARE",
            "identifier": "MD14763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "03551147",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "20124380",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2500 Merced St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.