Individual provider Active NPI

Kathleen E. Jacobs, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1275897779
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A127521 Issued in CA
Practice address
200 W Arbor Dr
#8422
San Diego, CA 92103-9000
Phone
(619) 543-6268
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A127521 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
#8422
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170712002017 CA Practitioner - Diagnostic Radiology 5991089138 Reassigns benefits to 10 organizations
I20240610002762 MT Practitioner - Diagnostic Radiology 5991089138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians
Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (800) 926-8273

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

3637 Kingsley St
San Diego, CA 92106-1107
Phone (952) 595-1100

3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (800) 926-8273

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

6082 Valencia Circle
Rancho Santa Fe, CA 92067-8911
Phone (607) 547-3456

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9400 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.49 of 100Reported as group
Quality
91.25
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127521CAMDClinical Social Worker
A127521CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC San Diego Health Community Group CurrentSince Jan 14, 2019 Accepting new patients
Ascension Borgess Lee Hospital Current Accepting new patients
Northern Montana Hospital Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 25, 2024 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Nov 6, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 6, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jun 10, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 25, 2024 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Jun 20, 2017 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Central Montana Medical Facilities, Inc CurrentSince Jul 1, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 1, 2023 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 8, 2024 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Kaleida Health CurrentSince Dec 8, 2024 Accepting new patients
Warren General Hospital CurrentSince Nov 6, 2024 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Central Montana Medical Facilities, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 6, 2024 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
GMG Health Systems Associates PA Family Medicine Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

477 N El Camino Real
Ste A204
Encinitas, CA 92024

300 Canal St
King City, CA 93930
Phone (831) 385-6000

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

9452 Medical Center Dr
La Jolla, CA 92037
Phone (858) 246-2016

9427 Health Scientists Dr
La Jolla, CA 92093

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

200 W Arbor Dr
#8422
San Diego, CA 92103
Phone (619) 543-6529

330 Lewis St
Ste 202
San Diego, CA 92103

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
Ste I505
San Diego, CA 92103

408 Dickinson St
San Diego, CA 92103
Phone (619) 471-0513

8929 University Center Ln
San Diego, CA 92122
Phone (855) 543-0333

16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

30 13th St
Havre, MT 59501
Phone (406) 262-1302

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 34

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

View all 34

Hospital & facility affiliations 3

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1275897779",
    "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",
            "address_2": "#8422",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-543-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KATHLEEN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A127521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.