Individual provider Active NPI

Jill Kei Furubayashi, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1457587073
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MDR-5714 Issued in HI
Practice address
13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128-4101
Phone
(858) 546-3800
NPI assigned
Jun 10, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-13999 AR
Diagnostic Radiology Physician 2085R0202X MDR-5714 HI Primary

Addresses

Primary practice location

13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128-4101

Mailing address

13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128-4101
Phone (858) 546-3800

Other practice location 1

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 296-1095

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, OH, HI, NV, LA, KY, AR, WA, AZ10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20140911000903 CA Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 10 organizations
I20150826001722 MI Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 1 organization
I20160906001527 OH Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 1 organization
I20170323001641 HI Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 23 organizations
I20180502000008 NV Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 1 organization
I20210301002859 LA Practitioner - Diagnostic Radiology 7517186224
I20210830003484 KY Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 1 organization
I20230417003051 AR Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 3 organizations
I20231024001861 WA Practitioner - Diagnostic Radiology 7517186224 Reassigns benefits to 4 organizations
I20240211000096 AZ Practitioner - Diagnostic Radiology 7517186224

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Hawaii John a. Burns School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

Kailua, HI 96734
Phone (541) 618-5800

Honolulu, HI 96825
Phone (541) 618-5800

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

609 Milokai St
Kailua, HI 96734-1624
Phone (425) 563-1500

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13999ARMDDiagnostic Radiology Physician
MDR-5714HIMDDiagnostic Radiology Physician

Practice roles (60 of 84)

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 23, 2022 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Nov 21, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2023 Accepting new patients
Swedish Health Services CurrentSince Mar 13, 2024 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
Public Hospital District No 4 King County Washington Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 28, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2015 Accepting new patients
University of Arkansas for Medical Sciences Diagnostic Radiology Current Accepting new patients
Santa Cruz Radiology L L C Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
County of San Joaquin CurrentSince Feb 1, 2017 Accepting new patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Swedish Health Services CurrentSince Mar 13, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 19, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jan 19, 2023 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Oct 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
County of Santa Clara Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Golding Radiology, LTD Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Oct 4, 2023 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Dec 25, 2017 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Jan 20, 2018 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 23, 2022 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Rockford Radiology Assoc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2023 Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
County of San Joaquin CurrentSince Feb 1, 2017 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Nov 21, 2023 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2015 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Central Washington Health Services Association CurrentSince Feb 1, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Dec 22, 2025 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Oct 4, 2023 Accepting new patients

Locations (25 of 98)

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

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

2301 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 322-9958

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: jfurubayashi81025@scrippshlth.medalliesdirect.net
  • Direct secure messaging: jill.furubayashi.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 87

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 87

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457587073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S",
            "address_2": "STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284101",
            "telephone_number": "858-546-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S",
            "address_2": "STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284101",
            "telephone_number": "858-546-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-296-1095",
            "fax_number": "501-526-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURUBAYASHI",
        "first_name": "JILL",
        "middle_name": "KEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-13999",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MDR-5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2425 Geary Blvd",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941153358",
            "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.