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GROSSMONT SURGERY CENTER, L.P.
NPI 1114975794
Clinic/Center - Ambulatory Surgical in La Mesa, CA

Active since May 05, 2006CLIA 05D0725602 · Waiver
8881 FLETCHER PKWY, SUITE 100, LA MESA, CA 91942(619) 698-0930 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grossmont Surgery Center, L.p. NPPES

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

GROSSMONT SURGERY CENTER, L.P. (NPI 1114975794) is a healthcare organization registered as an ambulatory surgical in La Mesa, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Carrie Jones, Ops Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114975794
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGROSSMONT SURGERY CENTER, L.P.
Location Address8881 FLETCHER PKWY, SUITE 100La Mesa, CA 91942-3134
Mailing Address8881 Fletcher Pkwy, Suite 100La Mesa, CA 91942-3134 · (619) 698-0930
Phone(619) 698-0930
Organization SubpartNo
Authorized OfficialCarrie JonesOps Coordinator · (205) 970-5674
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114975794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8881 FLETCHER PKWY, La Mesa, CA 91942
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Other Identifiers 1

MedicaidDUT01090GCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0725602

Grossmont Surgery Center · La Mesa, CA
Active · expires Aug 31, 2026
CLIA Number05D0725602
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonald M. Levin
Laboratory Phone(619) 698-0930
Laboratory LocationGrossmont Surgery Center8881 Fletcher Parkway, Ste 100, La Mesa, CA 91942
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. MICHELLE CAO M.D.
Family Medicine
8881 FLETCHER PKWY, SUITE 105
LA MESA, CA 91942
San Diego County (858) 499-2600
HODA MELISSA KASHIKAR RN, MSN, NP-C
Nurse Practitioner (Family)
8881 FLETCHER PKWY, SUITE 360
LA MESA, CA 91942
San Diego County (619) 460-2700
KAMBIZ GHANDEHARI DDS
Dentist (General Practice)
8881 FLETCHER PKWY, SUITE 325
LA MESA, CA 91942
San Diego County (619) 697-2800
ERICA RAGEN PA-C
Physician Assistant
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (213) 447-2314
BRUCE M CRABTREE MD INC
Anesthesiology
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (619) 698-0930
KULJINDER S GREWAL M D P C
Ophthalmology
8881 FLETCHER PKWY, SUITE 104
LA MESA, CA 91942
San Diego County (619) 644-1400
DR. SALVATORE TARANTINO M.D.
Internal Medicine
8881 FLETCHER PKWY, STE 370
LA MESA, CA 91942
San Diego County (619) 462-5555
DAVID TIMOTHY BAILEY DPT
Physical Therapist
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (619) 460-0137

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 Grossmont Surgery Center, L.P.'s NPI number?

The NPI number for Grossmont Surgery Center, L.P. is 1114975794. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Grossmont Surgery Center, L.P. located?

Grossmont Surgery Center, L.P. is located at 8881 Fletcher Pkwy Suite 100, La Mesa, CA 91942. The listed phone number is (619) 698-0930.

What is Grossmont Surgery Center, L.P.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Grossmont Surgery Center, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0725602) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grossmont Surgery Center, L.P. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.