Individual provider Active NPI

Jeffrey Lawrence Koning, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1780952176
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A122071 Issued in CA
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

Updated by the provider on Feb 4, 2026

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 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, WA2 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
I20170711000950 CA Practitioner - Diagnostic Radiology 8224307004 Reassigns benefits to 14 organizations
I20251227000677 WA Practitioner - Diagnostic Radiology 8224307004 Reassigns benefits to 8 organizations

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
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
San Diego Imaging-Chula Vista LLCGroup PAC ID 5496641813, 43 clinicians
San Diego Diagnostic Radiology Medical Group IncGroup PAC ID 0143134353, 47 clinicians
Public Hospital District No 4 King County WashingtonGroup PAC ID 6002700861, 85 clinicians

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 Hospital, Santa Rosa, CA, CCN 050174
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
90.08 of 100Reported as group
Quality
82.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122071CAMDDiagnostic Radiology Physician
MD70040329WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 3, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 3, 2026 Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 21, 2023 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jan 26, 2026 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Current Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 17, 2017 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 5, 2026 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jun 25, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Oct 16, 2025 Accepting new patients
Swedish Health Services CurrentSince Dec 1, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Oct 16, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
University of California San Francisco CurrentSince Feb 3, 2026 Accepting new patients
Scripps Health Current Accepting new patients
University of California San Francisco CurrentSince Feb 3, 2026 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Oct 17, 2017 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Oct 18, 2017 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 25, 2025 Accepting new patients
San Diego Imaging, LLC CurrentSince Mar 1, 2023 Accepting new patients
San Diego Imaging-Chula Vista LLC CurrentSince Jul 17, 2017 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 17, 2017 Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Nov 1, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jan 26, 2026 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 2, 2026 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

  • Direct secure messaging: jkoning81211@scrippshlth.medalliesdirect.net
  • Direct secure messaging: 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.

View all 35

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.