Jared Ross Rispens, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125-064636 Issued in IL

Practice address

1401 Union St Apt 2003
San Diego, CA 92101-3638

Phone

(619) 786-7383

Fax

(858) 742-8323

NPI assigned

Jun 16, 2014

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1447664628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UNION ST APT 2003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013638",
            "telephone_number": "619-786-7383",
            "fax_number": "858-742-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 UNION ST APT 2003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013638",
            "telephone_number": "619-786-7383",
            "fax_number": "858-742-8323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 N Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011028",
            "country_code": "US",
            "telephone_number": "619-278-7130",
            "fax_number": "619-278-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISPENS",
        "first_name": "JARED",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-064636",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-064636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Physical Therapy Prime Wellness Inc (RISE Prime Wellness)
• Rise Up House San Diego LLC
• Rishi Jindal MD Inc
• Patricia Risi, COTA/L
• Dena Joy Riso
• Joseph A Risser, MD
• Marlene Rissman
• Raquel L Rissman, M.D.
• Susan Elizabeth Rist, FNP
• Boaz Ritblatt, DPT

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.