Active NPI
Jeffrey Lawrence Koning, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A122071
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (619) 543-2218
- NPI assigned
- Dec 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD70040329 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | A122071 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice location 1
2401 Shadelanders Drive
Walnut Creek, CA 94598
Phone (425) 563-1500
Other practice location 2
203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Poway, CA 92064
Phone (425) 563-1500
17635 Stagecoach LN
Poway, CA 92064-1083
Phone (425) 563-1500
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
765 Medical Ctr CT
Chula Vista, CA 91911-6600
Phone (619) 397-6577
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 541-3600
8070 Entrada de
Luz E
San Diego, CA 92127-2561
Phone (425) 563-1500
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Santa Clara Valley Medical Center
- Sharp Chula Vista Medical Center
- Providence Holy Cross Medical Center
- Overlake Hospital Medical Center & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.08 of 100
- Quality
- 82.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122071 | CA | MD | Diagnostic Radiology Physician |
| MD70040329 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Wishon Radiological Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California Ucsd Department of Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Radia California Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Imaging, LLC | Current | Accepting new patients | |
| San Diego Imaging-Chula Vista LLC | Current | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Norcal Healthconnect LLC | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients |
Locations (25 of 36)
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577
765 Medical Center Ct
Ste 101
Chula Vista, CA 91911
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
Interoperability endpoints
- jkoning81211@scrippshlth.medalliesdirect.net
- jkoning74198@valleychildrens-prd.direct-ci.com
Organizations & group practices 35
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1740982032
-
- Diagnostic Radiology Physician
- Coronado, CA
- NPI 1417988221
-
- Radiology Clinic/Center
- Chula Vista, CA
- NPI 1649207812
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
CA
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Clinic/Center
- San Diego, CA
- NPI 1780312371
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1528012168
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1780952176",
"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": [
{
"address_1": "2401 Shadelanders Drive",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "94598",
"country_code": "US",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 S Western Ave",
"address_purpose": "LOCATION",
"city": "Tonasket",
"state": "WA",
"postal_code": "988558803",
"country_code": "US",
"telephone_number": "509-486-2155",
"fax_number": "509-223-1640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONING",
"first_name": "JEFFREY",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD70040329",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A122071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 4, 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.
- 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.