Grossmont Surgical Associates,Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GROSSMONT SURGICAL ASSOCIATES,INC

Practice address

5565 Grossmont Center Drive
Suite 1-221
La Mesa, CA 91942-3020

Phone

(619) 462-8100

Fax

(619) 462-7933

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Linda M Munsch

Title

Office Manager

Phone

(619) 462-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hong-Der Lin, MD

  • Surgery Physician
  • La Mesa, CA
  • NPI 1174539035
  Medicare reassignment Care Compare group NPD
• Jeffrey Wannares

  • Surgery Physician
  • La Mesa, CA
  • NPI 1851728141
  Medicare reassignment Care Compare group NPD
• Briana Leung, MD

  • Surgery Physician
  • Tacoma, WA
  • NPI 1821483785

  CA

  Medicare reassignment Care Compare group NPD
• Helen J Sohn, MD

  • Surgery Physician
  • La Mesa, CA
  • NPI 1528096955
  Medicare reassignment Care Compare group
• Emanuel Afram Shapera, MD

  • Surgical Oncology Physician
  • Temecula, CA
  • NPI 1407268790

  Surgery

  Medicare reassignment NPD
• Carl Eric Orr, MD

  • Surgery Physician
  • La Mesa, CA
  • NPI 1730195694
  Medicare reassignment

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295827830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "SUITE 1-221",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-462-8100",
            "fax_number": "619-462-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "SUITE 1-221",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-462-8100",
            "fax_number": "619-462-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT SURGICAL ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNSCH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-462-8100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmont Outpatient Surgical Center
• Grossmont Pediatrics Operated by Neighborhood Healthcare
• Grossmont Skilled Care, Inc. (Grossmont Gardens Healthcare Center)
• Grossmont Surgery Center LP
• Grossmont Surgery Center, L.P.
• Grossmont Union High School District
• Monique Grover, PPS
• Klarece Lynn Grudzinski, MA
• GS Matosian Dental Corp
• Grace Alcantara Guerrero, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.