NPIMap

Organization Active NPI

Grossmont Hospital Corporation

Doing business as Sharp Grossmont Hospital SNF

  • Skilled Nursing Facility
  • La Mesa, CA
National Provider Identifier
1417930249
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000006 Issued in CA
Legal business name
GROSSMONT HOSPITAL CORPORATION
Doing business as
Sharp Grossmont Hospital SNF
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 740-6000
NPI assigned
Nov 25, 2005
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GROSSMONT HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Scott Evans
Title
Ceo
Phone
(619) 740-4648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000006 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025

Other identifiers 1

IdentifierTypeStateIssuer
LTC55572FMedicaidCA

Other names 1

  • Sharp Grossmont Hospital SNF Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312001556 CA Part A Provider - Skilled Nursing Facility 4183518137 Practice locations: La Mesa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417930249. Details of each certification follow.

Skilled nursing facility certification: CCN 555572

Legal name
GROSSMONT HOSPITAL CORPORATION
Doing business as
SHARP GROSSMONT HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 19, 1993
Last certification
May 24, 2024
Beds
30
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 2, 1991 in CA
Enrollment address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Nursing home name
GROSSMONT HOSPITAL D/P SNF

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grossmont Hospital D/P SNFCCN 555572 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 19, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3019.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Grossmont Hospital Corp14 organizations share this tax ID, including this one
Part of
Grossmont Hospital Corp

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Sharp Healthcare

    dba Sharp Rees-Stealy Clinical Laboratory - Scripps Ranch

    • Clinical Medical Laboratory
    • San Diego, CA
    • NPI 1720237480

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Carlsbad, CA Corporation Adp of the SNF Dec 20, 2025
Diane Keltner Individual Corporate DirectorBoard Member Sep 1, 2017
Steven R Allsing Individual Corporate DirectorBoard Member Jan 1, 2021
Sharp Healthcare Organization, San Diego, CA Non-profit 5% Or Greater Direct Ownership Interest May 29, 1991 100%
Operational/Managerial Control May 29, 1991
Adp of the SNF May 29, 1991
Direct Ownership Interest May 29, 1991 100%
Franklin Kalmar Individual Adp of the SNF Dec 16, 2025
Brian S Moore Individual Corporate DirectorBoard Member Dec 1, 2016
Dee M Ammon Individual Corporate OfficerChair Jun 1, 2020
Virginia Hall Individual Corporate DirectorBoard Member Jun 1, 2025
Ron Oberndorfer Individual Corporate DirectorBoard Member Jun 1, 2016
Christopher D Howard Individual Corporate DirectorPresident & Ceo Sharp Healthcare Jan 31, 2019
Organization, La Mesa, CA Adp of the SNF Sep 15, 2025
Howard Levenson Individual Corporate DirectorBoard Member Jun 1, 2025
Randolph S Lenac Individual Corporate OfficerTreasurer Jun 1, 2020
Maria Darlene Villarta Individual Operational/Managerial Control Dec 28, 1998
Adp of the SNF Dec 28, 1998
Organization, La Mesa, CA Adp of the SNF Jul 1, 2014
William Evans Individual Corporate DirectorEvp Hospital Ops & Chief Strategy Oct 31, 2022
Operational/Managerial Control Dec 1, 2016
Adp of the SNF Feb 3, 2026
Brian Potter Individual Corporate DirectorBoard Member Jun 1, 2025
Ann Goldberg Individual Corporate DirectorBoard Member Jul 1, 2024
Fahd Benjalil Individual Operational/Managerial Control Jun 1, 2024
Margaret Watkins Individual Corporate DirectorBoard Member Jun 1, 2025
John Fonseca Individual Corporate OfficerVice Chair Jun 1, 2019
Organization, North Bethesda, MD LLC Adp of the SNF Jan 5, 2026
Marguerite Paradis Individual Operational/Managerial Control Jun 23, 2014

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Steven R Allsing, MD
    • Orthopaedic Surgery Physician
    • San Diego, CA
    • NPI 1538274709

    Corporate Director

    CMS ownership
  • Franklin Kalmar, M.D.
    • Physical Medicine & Rehabilitation Physician
    • La Mesa, CA
    • NPI 1790807436

    Adp of the SNF

    CMS ownership
  • Brian S Moore, MD
    • Vascular & Interventional Radiology Physician
    • La Mesa, CA
    • NPI 1831144005

    Corporate Director

    CMS ownership
  • Sharp Healthcare

    dba Sharp Rees-Stealy #6

    • Community/Retail Pharmacy
    • San Diego, CA
    • NPI 1235170234

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Sharp Healthcare

    dba Sharp Rees Stealy Clinics Laboratory - Sorrento Mesa

    • Clinical Medical Laboratory
    • San Diego, CA
    • NPI 1619944196

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Sharp Healthcare

    dba Sharp Rees-Stealy Center for Health Management

    • Clinic/Center
    • San Diego, CA
    • NPI 1780283341

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1417930249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-499-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROSSMONT HOSPITAL CORPORATION",
        "enumeration_date": "2005-11-25",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-740-4648"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55572F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Grossmont Hospital SNF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sharp Grossmont Hospital SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.