GROSSMONT DERMATOLOGY MEDICAL CLINIC
NPI 1194838441
Dermatology - Procedural Dermatology in La Mesa, CA
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
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grossmont Dermatology Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Grossmont Dermatology Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Grossmont Dermatology Medical Clinic enrolled in Medicare?
Yes. Grossmont Dermatology Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grossmont Dermatology Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Grossmont Dermatology Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (8), Ophthalmology (2) and Optometry (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Grossmont Dermatology Medical Clinic · NPI 1194838441
Procedural Dermatology organization in La Mesa, California. Organization record, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1194838441 (Entity type: Organization)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Also known as:** Coastal Skin and Eye Institute (Doing Business As)
- **Organization subpart:** Yes (part of Coastal Skin And Eye Institute)
- **Authorized official:** Monica Del Valle, BILLING SUPERVISOR
## Practice location
- **Address:** 8860 CENTER DR, STE 300, La Mesa, CA 91942-3068
- **Phone:** (619) 462-1670 · **Fax:** (619) 462-3209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (8), Ophthalmology (2), Optometry (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2025
- **Other identifiers:** Medicaid 00A233400 (CA); Medicaid 00G733400 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194838441) · Data from the CMS NPPES public registry.