Active NPI
KMJ Medical Group Incorporated
- Psychiatry Physician
- La Mesa, CA
National Provider Identifier
1922945203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- KMJ MEDICAL GROUP INCORPORATED
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3077 - Phone
- (619) 949-0838
- Fax
- (619) 655-4714
- NPI assigned
- May 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl Monte Jacobs, MD
- Title
- MD/Owner
- Phone
- (858) 997-5184
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3077
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- La Mesa, CA
- NPI 1669676524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1922945203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "619-464-1165",
"fax_number": "619-567-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423077",
"telephone_number": "619-949-0838",
"fax_number": "619-655-4714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMJ MEDICAL GROUP INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "MONTE",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "858-997-5184",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.