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

Kris J. Van Lom, MD

Individual provider Diagnostic Radiology Physician · NPI 1639120090

Kris J. Van Lom, MD is a Diagnostic Radiology in LA Jolla, California. Graduated from Oregon Health Sciences University School of Medicine in 1981, 45 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
45
Trained at
Oregon Health Sciences University School 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

9898 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 626-7275
Fax: (858) 626-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G56641 (CA)

Record details

NPI number1639120090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 18, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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