Grossmont Dermatology Medical Clinic

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

GROSSMONT DERMATOLOGY MEDICAL CLINIC

Doing business as

Coastal Skin and Eye Institute

Practice address

8860 Center Dr
Ste 300
La Mesa, CA 91942-3068

Phone

(619) 462-1670

Fax

(619) 462-3209

NPI assigned

Aug 17, 2006

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL SKIN AND EYE INSTITUTEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica Del Valle

Title

Billing Supervisor

Phone

(619) 462-1670

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Coastal Skin and Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Grossmont Dermatology

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Skin and Eye Institute, Inc.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1790232015
  NPPES parent name

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher V Crosby, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • La Mesa, CA
  • NPI 1497931380

  Dermatology

  Medicare reassignment Care Compare group NPD
• Michelle Crosby, M.D., PH.D.

  • Ophthalmology Physician
  • Encinitas, CA
  • NPI 1558549303
  Medicare reassignment Care Compare group NPD
• Maya Firsowicz, MD

  • Dermatology Physician
  • La Mesa, CA
  • NPI 1194353631
  Medicare reassignment Care Compare group NPD
• Shinko Lin, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1205130036
  Medicare reassignment Care Compare group NPD
• Victoria Vuong Nguyen, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1619468709
  Medicare reassignment Care Compare group NPD
• Derek Walter Nickerson, M.D.

  • MOHS-Micrographic Surgery Physician
  • San Diego, CA
  • NPI 1265895619

  Dermatology

  Medicare reassignment Care Compare group NPD
• Neeta Varshney, M.D.

  • Ophthalmology Physician
  • Poway, CA
  • NPI 1689806606
  Medicare reassignment Care Compare group NPD
• Austin Ambur, DO

  • Dermatology Physician
  • Maitland, FL
  • NPI 1649731423

  CA

  Medicare reassignment Care Compare group NPD
• Helene Sy Jolly, PA-C

  • Physician Assistant
  • La Mesa, CA
  • NPI 1619048451
  Medicare reassignment Care Compare group
• Kira Ann Tellache, PHYSICIAN ASSISTANT

  • Physician Assistant
  • La Mesa, CA
  • NPI 1104441021
  Medicare reassignment Care Compare group
• Connor Marcus Caldwell, OD

  • Optometrist
  • San Diego, CA
  • NPI 1730726902
  Medicare reassignment NPD
• Maki C. Goskowicz

  • Dermatology Physician
  • La Mesa, CA
  • NPI 1821096942
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1194838441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "STE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Saxony Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242875",
            "country_code": "US",
            "telephone_number": "760-257-5550",
            "fax_number": "619-462-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Carmel Mountain Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921304861",
            "country_code": "US",
            "telephone_number": "858-943-2540",
            "fax_number": "858-252-2053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 N El Camino Real Ste C300",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241356",
            "country_code": "US",
            "telephone_number": "760-257-5550",
            "fax_number": "858-252-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROSSMONT DERMATOLOGY MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL SKIN AND EYE INSTITUTE",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "619-462-1670"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G733400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A233400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Skin and Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Nicole Grogan, DMD
• Jeanne K. Gromer, M.D.
• Hana Groos
• Corinne Grossman
• Grossmont Anesthesia Services Medical Group Inc
• Grossmont Emergency Medical Group
• Grossmont Endoscopy Institute LLC
• Grossmont Family Medical Group, Inc.
• Grossmont Gardens Operations, LLC (Grossmont Gardens)
• Grossmont Hospital Corporation (Sharp Grossmont Hospital Rehab)

• Procedural Dermatology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.