Grossmont Medical Clinic a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GROSSMONT MEDICAL CLINIC A PROFESSIONAL CORPORATION

Practice address

8851 Center Dr
Suite 408
La Mesa, CA 91942-3017

Phone

(619) 589-8626

Fax

(619) 589-8864

NPI assigned

Sep 25, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Webb, M.D.NPI 1982704011

Title

President

Phone

(619) 589-8626

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Raby Webb, M.D.

  • Family Medicine Physician
  • La Mesa, CA
  • NPI 1982704011
  Authorized official Same address or phone

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1508967662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261699",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921961699",
            "telephone_number": "619-589-8626",
            "fax_number": "619-589-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 408",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-589-8626",
            "fax_number": "619-589-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT MEDICAL CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-589-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmont Hospital Corporation (Grossmont Hospital Laboratory Services)
• Grossmont Hospital Corporation (Grossmont Hospital Outpatient Pharmacy)
• Grossmont Imaging, LLC
• Grossmont Ipg LTD
• Grossmont Medical Center Acupuncture Clinic
• Grossmont OB/GYN Medical Group Inc
• Grossmont Outpatient Surgical Center
• Grossmont Pediatrics Operated by Neighborhood Healthcare
• Grossmont Skilled Care, Inc. (Grossmont Gardens Healthcare Center)
• Grossmont Surgery Center LP

• Family Medicine Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.