Grossmont Hospital Corporation

A Medicare group practice based in La Mesa, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 4183518137), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183518137The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Home Infusion Therapy Supplier, Part B Supplier - Hospital Department(S), Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
8
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
20In 2 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20080117000520 CA Part A Provider - Hospital 1528041811
O20240715004005 CA Part B Supplier - Hospital Department(S) 1528041811
O20240207002972 CA Part B Supplier - Pharmacy 1932485307
O20230817002728 CA Part B Supplier - Home Infusion Therapy Supplier 1457330300
O20150120001973 CA Part A Provider - Hospice 1427037308
O20140312001556 CA Part A Provider - Skilled Nursing Facility 1417930249
O20120228000179 CA Part A Provider - Hospital 1568445419
O20120126000675 CA Part A Provider - Hospital 1043293871

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page