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SHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION
NPI 1104238682
Family Medicine in La Mesa, CA

Active since June 02, 2014
5565 GROSSMONT CENTER DR, BLD 1 STE 210, LA MESA, CA 91942(619) 461-3150 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shota Gurtch, M.d., Inc., A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION (NPI 1104238682) is a healthcare organization registered as a family medicine in La Mesa, California and active in the NPI registry since June 2014. The organization lists Shota Gurtch, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1104238682
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION
Location Address5565 GROSSMONT CENTER DR, BLD 1 STE 210La Mesa, CA 91942-3020
Mailing Address5565 Grossmont Center Dr, Bld 1 Ste 210La Mesa, CA 91942-3020 · (619) 461-3150
Phone(619) 461-3150
Organization SubpartNo
Authorized OfficialShota GurtchPhysician Owner · (858) 997-3161
Enumeration DateJune 2, 2014
✔ NPI 1104238682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5565 GROSSMONT CENTER DR, La Mesa, CA 91942
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMIAH MOLES MD
Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
San Diego County (619) 464-3353
RONALD M JOHNSON MD MEDICAL CORP
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-4145
DR. MICHAEL H. FENN M.D.
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
San Diego County (619) 466-0048
NANCY LYNN NELSON P.T.
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 589-0850
PETER F JOHNSON DMD A PROFESSIONAL CORPORATION
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
San Diego County (619) 463-3737
MOHAMMED MIRADI MD INC
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
San Diego County (619) 644-1483
DR. THOMAS GREGORY WADDELL DDS
Dentist (General Practice)
5565 GROSSMONT CENTER DR, SUITE 356
LA MESA, CA 91942
San Diego County (619) 461-1900
DR. KAREN E. ANDERSON, APC
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942
San Diego County (619) 440-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shota Gurtch, M.D., Inc., A Professional Corporation's NPI number?

The NPI number for Shota Gurtch, M.D., Inc., A Professional Corporation is 1104238682. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Shota Gurtch, M.D., Inc., A Professional Corporation located?

Shota Gurtch, M.D., Inc., A Professional Corporation is located at 5565 Grossmont Center Dr Bld 1 Ste 210, La Mesa, CA 91942. The listed phone number is (619) 461-3150.

What is Shota Gurtch, M.D., Inc., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shota Gurtch, M.D., Inc., A Professional Corporation was last updated on June 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.