GROSSMONT DERMATOLOGY MEDICAL CLINIC
NPI 1194838441
Dermatology - Procedural Dermatology in La Mesa, CA
NPI Status: Active since August 17, 2006
Contact Information
8860 CENTER DR
STE 300
LA MESA, CA
ZIP 91942
Phone: (619) 462-1670
Fax: (619) 462-3209
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 05D0567864
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2027
About GROSSMONT DERMATOLOGY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Grossmont Dermatology Medical Clinic, a provider established in La Mesa, California operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1194838441 assigned on August 2006. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1194838441
- Provider Legal Name
- GROSSMONT DERMATOLOGY MEDICAL CLINIC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 8860 CENTER DR STE 300 LA MESA, CA 91942
- Location Phone
- (619) 462-1670
- Location Fax
- (619) 462-3209
- Mailing Address
- 8860 CENTER DR STE 300 LA MESA, CA 91942
- Mailing Phone
- (619) 462-1670
- Mailing Fax
- (619) 462-3209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-17-2006
- Last Update Date
- 09-30-2025
- Code Navigator
Location Map
Secondary Locations
- 5550 Carmel Mountain Rd Ste 206
San Diego, CA 92130
(858) 943-2540 - 477 N El Camino Real Ste C300
Encinitas, CA 92024
(760) 257-5550 - 489 Saxony Pl Ste 101
Encinitas, CA 92024
(760) 257-5550
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A233400 | MEDICAID (05) | CA | |
| 00G733400 | MEDICAID (05) | 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
- 05D0567864
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2025
- Certificate Expiration Date
- August 23, 2027
- Laboratory Director
- CHRISTOPHER V. CROSBY MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Grossmont Dermatology Medical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194838441, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194838441, enumerated as an "organization" on August 17, 2006.
The provider is located at 8860 CENTER DR STE 300 LA MESA, CA 91942 and the phone number is (619) 462-1670.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
