Jason R. Kornberg, M.D., a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A79691 Issued in CA

Legal business name

JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION

Practice address

3252 Holiday CT Ste 205
La Jolla, CA 92037-1808

Phone

(858) 677-9222

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason Kornberg, M.D.NPI 1073685764

Title

C.E.O.

Phone

(858) 677-9222

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason R. Kornberg, M.D.

  • Forensic Psychiatry Physician
  • La Jolla, CA
  • NPI 1073685764
  Medicare reassignment NPD Authorized official
• Elizabeth Ruth Hudler, MD

  • Psychiatry Physician
  • Del Mar, CA
  • NPI 1134287352
  NPD (past)
• Michael John McDaniel, MD

  • Psychiatry Physician
  • Alpine, CA
  • NPI 1851432900
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1841440419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12008",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920392008",
            "telephone_number": "858-677-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 205",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-677-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "KORNBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "858-677-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A79691",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A79691",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A79691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet R. Schwartz, MD, Apc
• Kristina Jansen, CCT
• Bronwyn Jarvis, P.T.
• Jonathan R Jaseniuk, P.A.
• Jaclyn Marja Jaskowiak, PHARM.D.
• Max Joseph Jason, MD
• Jeffrey Michael Javelet, DDS
• Johnnie Gayle Javidan, FNP-C
• Pooya Javidan, M.D.
• Jay'S Heart

• Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.