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: July 19, 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.Information from the official NPPES registry record, last updated August 22, 2020.

NPPES Registry Identity

NPI1114975794
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Clinic/Center · Ambulatory Surgical

Taxonomy 261QA1903X · Ambulatory Health Care Facilities

8881 FLETCHER PKWY, La Mesa, CA 91942

Also on File with NPPES

Other Identifiers1
DUT01090G (Medicaid, CA)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0725602
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
RONALD M. LEVIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grossmont Surgery Center, L.p. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GROSSMONT SURGERY CENTER, L.P.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
8881 FLETCHER PKWY, SUITE 250
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, SUITE 325
LA MESA, CA 91942
Clinic/Center (Ambulatory Surgical)
8881 FLETCHER PKWY, SUITE 100
LA MESA, CA 91942
Ophthalmology
8881 FLETCHER PKWY, #395
LA MESA, CA 91942
Physician Assistant
8881 FLETCHER PKWY, 360
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, SUITE 325
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, SUITE 325
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, 220
LA MESA, CA 91942
Nurse Practitioner
8881 FLETCHER PKWY, SUITE 200
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, #350
LA MESA, CA 91942
Dentist (General Practice)
8881 FLETCHER PKWY, SUITE 265
LA MESA, CA 91942
Optometrist
8881 FLETCHER PKWY, SUITE 395
LA MESA, CA 91942
Physical Therapist
8881 FLETCHER PKWY, SUITE 385
LA MESA, CA 91942
Clinic/Center (Ambulatory Surgical)
8881 FLETCHER PKWY, STE 241
LA MESA, CA 91942
Physical Therapy Assistant
8881 FLETCHER PKWY, SUITE #280
LA MESA, CA 91942
Ophthalmology
8881 FLETCHER PKWY, SUITE 104
LA MESA, CA 91942
Anesthesiology
8881 FLETCHER PKWY
LA MESA, CA 91942
Physical Therapist
8881 FLETCHER PKWY
LA MESA, CA 91942
Specialist
8881 FLETCHER PKWY, SUITE 241
LA MESA, CA 91942
Hearing Aid Equipment
8881 FLETCHER PKWY, 103
LA MESA, CA 91942

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114975794, enumerated as an "organization" on May 05, 2006.

The provider is located at 8881 FLETCHER PKWY SUITE 100 LA MESA, CA 91942 and the phone number is (619) 698-0930.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.