Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan S Koelle, MD

Individual provider Psychiatry Physician · NPI 1609803824

Dr. Jonathan S Koelle, MD is a Psychiatry in LA Mesa, California. Graduated from Pennsylvania State University College of Medicine in 1987, 39 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Trained at
Pennsylvania State University College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 Spring St Ste 220
LA Mesa, CA 91951-5274
Phone: (619) 667-3380
Fax: (619) 667-0815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G79002 (CA)

Record details

NPI number1609803824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing addressPo Box 609001, San Diego, CA 92160-9001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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