Active NPI
Jeremy Kuniyoshi, MD
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A76172
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (619) 543-2218
- NPI assigned
- Aug 28, 2007
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124212667 | Medicaid | HI | |
| 00A0275626 | Other | HI | HMSA |
| 0000275628 | Other | HI | HMSA |
| MD14763 | Other | QUEENS HEALTHCARE | |
| 03551147 | Other | HI | UHA |
| 20124380 | Other | HI | US DEPT OF LABOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Chicago, Pritzker School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Highland Hospital
- Alameda Hospital
- Lompoc Valley Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD14763 | HI | MD | Diagnostic Radiology Physician |
| A76172 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | 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 | Current | Accepting new patients |
| Inview Imaging Diagnostics Inc a Professional Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Lompoc Valley Medical Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Fresno Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | 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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Radiology Clinic/Center
- Antioch, CA
- NPI 1285603837
Diagnostic Radiology
-
- General Practice Physician
- Lompoc, CA
- NPI 1649282856
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1659456499
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
dba Modesto Advanced Diag Imaging Medical Center
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
-
dba Alta Bates Summit Medical Center - Summit Campus
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
dba Alta Bates Summit Medical Center - Alta Bates Campus
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.