Individual provider Active NPI

Max Joseph Jason, MD

  • Cardiovascular Disease Physician
  • La Jolla, CA
National Provider Identifier
1770233637
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
203821 Issued in CA
Practice address
9452 Medical Center Dr
La Jolla, CA 92037-1337
Phone
(858) 246-2016
NPI assigned
Mar 24, 2022
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 203821 CA Primary

Addresses

Primary practice location

9452 Medical Center Dr
La Jolla, CA 92037-1337

Mailing address

9452 Medical Center Dr # Mc7411
La Jolla, CA 92037-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220707000386 CO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2668852732

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203821CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1770233637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9452 MEDICAL CENTER DR # MC7411",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9452 MEDICAL CENTER DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371337",
            "telephone_number": "858-246-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "MAX",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "203821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.