Partners Urgent Care-Grossmont, Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52100 Issued in CA

Legal business name

PARTNERS URGENT CARE-GROSSMONT, INC.

Practice address

6136 Lake Murray Blvd
La Mesa, CA 91942-2502

Phone

(619) 303-5500

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Craig, M.D.

Title

Chief Medical Officer

Phone

(949) 292-4246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1255738159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 BROAD OAKS RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212575",
            "telephone_number": "619-300-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422502",
            "telephone_number": "619-303-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS URGENT CARE-GROSSMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "949-292-4246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Parker
• Parkway Manor LLC
• Parkway Operations, LLC
• Melissa Parr
• Partners Urgent Care-Grossmont
• Ellen Pastrano, M.D.
• Janak Bipinkumar Patel, DO
• Payal Devang Patel, PHARM D.
• Printuben Patel, RPH
• Rina Patel

• Physician Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.