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

Jason R. Kornberg, MD

Individual provider Forensic Psychiatry Physician · NPI 1073685764

Jason R. Kornberg, MD is a Psychiatry in LA Jolla, California. Graduated from New York University School of Medicine in 2000, 26 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
New York University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

3252 Holiday Ct Ste 205
LA Jolla, CA 92037-1808
Phone: (858) 677-9222
Show map & directions

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

Specialties & licences

Forensic Psychiatry Physician (primary) Taxonomy 2084F0202X · Licence A79691 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence A79691 (CA)

Record details

NPI number1073685764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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