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GROSSMONT DERMATOLOGY MEDICAL CLINIC
NPI 1194838441
Dermatology - Procedural Dermatology in La Mesa, CA

Active since August 17, 2006CLIA 05D0567864 · Certificate of Compliance
8860 CENTER DR, STE 300, LA MESA, CA 91942(619) 462-1670(619) 462-3209 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, Aug 10, 2023, Jul 11, 2023 and 4 more (7 updates tracked since 2019).

About Grossmont Dermatology Medical Clinic NPPES

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

GROSSMONT DERMATOLOGY MEDICAL CLINIC (NPI 1194838441), doing business as Coastal Skin And Eye Institute, is a healthcare organization registered as a procedural dermatology in La Mesa, California and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 23, 2027, maintains 3 additional practice locations, and lists Monica Del Valle, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1194838441
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameGROSSMONT DERMATOLOGY MEDICAL CLINIC
Location Address8860 CENTER DR, STE 300La Mesa, CA 91942-3068
Mailing Address8860 Center Dr Ste 300La Mesa, CA 91942-7001 · (619) 462-1670 · Fax (619) 462-3209
Phone(619) 462-1670
Fax(619) 462-3209
Organization SubpartYesParent: Coastal Skin And Eye Institute
Authorized OfficialMonica Del ValleBilling Supervisor · (619) 462-1670
Enumeration DateAugust 17, 2006
Last NPPES UpdateSeptember 30, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1194838441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
8860 CENTER DR, La Mesa, CA 91942
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Other Names 1

Doing Business AsCoastal Skin And Eye Institute

Secondary Practice Locations 3

Location 1489 Saxony Pl Ste 101Encinitas, CA 92024-2875 · Phone (760) 257-5550 · Fax (619) 462-3209
Location 25550 Carmel Mountain Rd Ste 206San Diego, CA 92130-4861 · Phone (858) 943-2540 · Fax (858) 252-2053
Location 3477 N El Camino Real Ste C300Encinitas, CA 92024-1356 · Phone (760) 257-5550 · Fax (858) 252-2053

Other Identifiers 2

Medicaid00A233400CA
Medicaid00G733400CA

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 Compliance 05D0567864

Grossmont Dermatology Medical Clinic Dba: Dermatology Medical Center Of California · La Mesa, CA
Active · expires Aug 23, 2027
CLIA Number05D0567864
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorChristopher V. Crosby MD
Laboratory Phone(619) 462-1670
Laboratory LocationGrossmont Dermatology Medical Clinic Dba: Dermatology Medical Center Of California8860 Center Dr, Ste 300, La Mesa, CA 91942
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

PURUSHOTHAM KOTHA MD
Internal Medicine (Cardiovascular Disease)
8860 CENTER DR, #400
LA MESA, CA 91942
San Diego County (619) 229-1995
VASCULAR ASSOCIATES OF SAN DIEGO
Surgery (Vascular Surgery)
8860 CENTER DR, 450
LA MESA, CA 91942
San Diego County (619) 460-6200
DR. SCOTT EDWARD MUSICANT MD
Surgery (Vascular Surgery)
8860 CENTER DR, 450
LA MESA, CA 91942
San Diego County (619) 460-6200
DR. HAROLD J GULBRANSEN DDS
Dentist (Prosthodontics)
8860 CENTER DR, SUITE #460
LA MESA, CA 91942
San Diego County (619) 463-3773
VICTOR SEIKALY M.D.
Internal Medicine
8860 CENTER DR, SUITE 310
LA MESA, CA 91942
San Diego County (619) 460-4000
DR. FIRAS ALHADDAD MD
Internal Medicine (Pulmonary Disease)
8860 CENTER DR, #240
LA MESA, CA 91942
San Diego County (718) 314-5049
SCOTT RECKSIEDLER D.M.D.
Dentist (Prosthodontics)
8860 CENTER DR, SUITE 460
LA MESA, CA 91942
San Diego County (619) 463-3773
BARZAN MOHEDIN, MD, A PROFESSIONAL CORPORATION
Internal Medicine (Critical Care Medicine)
8860 CENTER DR, SUITE 310
LA MESA, CA 91942
San Diego County (619) 668-9596

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 Dermatology Medical Clinic's NPI number?

The NPI number for Grossmont Dermatology Medical Clinic is 1194838441. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as Coastal Skin and Eye Institute.

Where is Grossmont Dermatology Medical Clinic located?

Grossmont Dermatology Medical Clinic is located at 8860 Center Dr Ste 300, La Mesa, CA 91942. The listed phone number is (619) 462-1670.

What is Grossmont Dermatology Medical Clinic's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Grossmont Dermatology Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0567864) is associated with this NPI, valid through August 23, 2027. 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 Dermatology Medical Clinic was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.