Individual provider Active NPI

Jessica G. Kingsberg, M.D.

  • Orthopaedic Trauma Physician
  • Loma Linda, CA
National Provider Identifier
1891016598
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
C202458 Issued in CA
Practice address
25455 Barton Rd Ste 102B
Loma Linda, CA 92354-3139
Phone
(909) 558-2808
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C202458 CA
Orthopaedic Trauma Physician 207XX0801X C202458 CA Primary
Orthopaedic Surgery Physician 207X00000X 16603 NV
Orthopaedic Trauma Physician 207XX0801X 454913 NV
Orthopaedic Surgery Physician 207X00000X 454913 NV
Orthopaedic Trauma Physician 207XX0801X 16603 NV

Addresses

Primary practice location

25455 Barton Rd Ste 102B
Loma Linda, CA 92354-3139

Mailing address

25455 Barton Rd Ste 102B
Loma Linda, CA 92354-3139
Phone (909) 558-2808

Other identifiers 1

IdentifierTypeStateIssuer
1030393150001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20161130002066 NV Practitioner - Orthopedic Surgery 1557591344 Reassigns benefits to 2 organizations
I20250919003565 CA Practitioner - Orthopedic Surgery 1557591344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808

900 E Washington St
Suite 200
Colton, CA 92324-4192
Phone (909) 558-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C202458CAMDOrthopaedic Surgery Physician
16603NVMDOrthopaedic Surgery Physician
454913NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Specialists Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2025 Accepting new patients
David Silverberg MD LTD Orthopaedic Surgery CurrentSince Oct 17, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Bone & Joint Specialists Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Sep 16, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Orthopaedic Surgery Past Accepting new patients

Locations

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 102B
Loma Linda, CA 92354
Phone (909) 558-2808

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2680 Crimson Canyon Dr
Las Vegas, NV 89128
Phone (702) 228-7355

2020 Palomino Ln
Ste 110
Las Vegas, NV 89106
Phone (702) 384-0808

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3196 S Maryland Pkwy
Ste 112
Las Vegas, NV 89109
Phone (702) 216-2670

2020 Palomino Ln
Ste 220
Las Vegas, NV 89106
Phone (702) 474-7200

Interoperability endpoints

  • Direct secure messaging: jkingsberg1267487@direct.llu.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1891016598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD STE 102B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543139",
            "telephone_number": "909-558-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD STE 102B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543139",
            "telephone_number": "909-558-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBERG",
        "first_name": "JESSICA",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C202458",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "C202458",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "16603",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NV",
            "license": "454913",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "454913",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NV",
            "license": "16603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030393150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.