Grossmont Hospital Corporation
Organization Active NPI General Acute Care Hospital · La Mesa, CA
NPI 1528041811 · NPPES record last updated Aug 19, 2015
Key facts
- NPI
- 1528041811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 080000006 (CA)
- Legal business name
- GROSSMONT HOSPITAL CORPORATION
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 740-6000
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Scott Evans
- Title
- Ceo
- Phone
- (619) 740-4648
Owners & managing parties with NPI records 6
-
Steven R Allsing, MD
-
Brian S Moore, MD
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 1
Member of 1
Related certifications (CCN) 2
Facilities with the same owner 11
Practitioners 357
-
April Julia Cromie, PMHNP-BC, APRN, MSN
-
Elizabeth Riley, NP
-
Kelly Mullins, FNP
-
Jessica Adeleke, D.O.
-
Donald S Adema, DO
-
Bina Adigopula, M.D.
-
Mohammed Al-Janabi, M.D.
-
Raed A Al-Naser, M.D.
-
Ali Ghazi Alamar, M.D.
-
Mary E. Alexander, M.D.
-
Dhuha Alhankawi, M.D.
-
Laura Allen, PA-C
-
Ziad Allos, M.D.
-
Steven R Allsing, MD
-
Matthew John Anderson, PA-C
-
Julian N. Anthony, M.D.
-
Amarpal Singh Arora, M.D.
-
Ralph Ascher, MD
-
Vadim Avulov, D.O.
-
Muhammad Anwarul Azam, M.D.
Affiliated clinicians 878
-
Hussein M Abdulhadi, M.D.
-
Angela R Acfalle, NP CNS
-
Angelica Noemi Acosta, P.A.
-
John Deryl Adderson, M.D.
-
Carrie Aisen, M.D.
-
Jaafar Al-Dahwi, MD
-
Mohammed Al-Janabi, M.D.
-
Raed A Al-Naser, M.D.
-
Ali Ghazi Alamar, M.D.
-
Ali S Alavi, M.D.
-
Firas Alhaddad, MD
-
Roshanak Alialy, MD
-
Steven R Allsing, MD
-
Mumtaz Thomas Almansour, M.D.
-
Angelica Alonso, MD
-
Giuseppe Ammirati, M.D.
-
Karen E Anderson, D.P.M.
Medicare Care Compare: Hospital
- Listed as
- Grossmont Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 050026
- Legal name
- GROSSMONT HOSPITAL CORPORATION
- Doing business as
- SHARP HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 2, 2018
- Beds
- 536
- Ownership / control type
- Hospital district or authority
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 2, 1991 in CA
- Enrollment address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Hospital subgroups
- General
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| William E Strukel |
Corporate Officer |
Jan 1, 2025 | |
| Diane Keltner |
Corporate Director |
Jun 1, 2017 | |
| Steven R Allsing |
Corporate Director |
Jan 1, 2021 | |
| Sharp Healthcare |
Operational/Managerial Control | May 29, 1991 | |
| Brian S Moore |
Corporate Director |
Jun 1, 2020 | |
| Dee M Ammon |
Corporate Officer |
Jun 1, 2020 | |
| Virginia Hall |
Corporate Director | Jun 1, 2025 | |
| Ron Oberndorfer |
Corporate Director |
Jun 1, 2017 | |
| Christopher D Howard |
Corporate Director |
Mar 1, 2019 | |
| W-2 Managing Employee |
Jan 31, 2019 | ||
| Howard Levenson |
Corporate Director | Jun 1, 2025 | |
| Randolph S Lenac |
Corporate Officer |
Jun 1, 2020 | |
| William Evans |
Corporate Officer |
Dec 1, 2016 | |
| W-2 Managing Employee |
Dec 1, 2016 | ||
| Brian Potter |
Corporate Director | Jun 1, 2025 | |
| Ann Goldberg |
Corporate Director | Jun 1, 2025 | |
| Margaret Watkins |
Corporate Director | Jun 1, 2025 | |
| John Fonseca |
Corporate Director |
Feb 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000520 | CA | Part a Provider - Hospital | 4183518137 | Practice locations: La Mesa, CA |
| O20240715004005 | CA | Part B Supplier - Hospital Department(S) | 4183518137 |
Receives reassigned benefits from 3 practitioners Practice locations: La Mesa, CA |
National Provider Directory
- Tax ID family
- Alvarado Hospital
Locations (25 of 31)
525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050
450 Fourth Ave
Ste 312
Chula Vista, CA 91910
Phone (619) 420-0201
230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450
590 S Magnolia Ave
El Cajon, CA 92020
Phone (252) 801-7686
1679 E Main St
Ste 208
El Cajon, CA 92021
Phone (619) 442-4468
5565 Grossmont Center Dr
Bldg 3101
La Mesa, CA 91942
8911 La Mesa Blvd
Ste 105
La Mesa, CA 91942
Phone (619) 713-5540
8860 Center Dr
Ste 100
La Mesa, CA 91942
Phone (619) 740-4000
5565 Grossmont Center Dr
Ste 1
La Mesa, CA 91942
Phone (619) 463-4486
9000 Wakarusa St
La Mesa, CA 91942
Phone (619) 740-4600
5565 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 461-3150
8860 Center Dr
Ste 400
La Mesa, CA 91942
Phone (619) 229-1995
8851 Center Dr
Ste 304
La Mesa, CA 91942
Phone (619) 644-9315
8860 Center Dr
Ste 250
La Mesa, CA 91942
Phone (619) 740-5100
5565 Grossmont Center Dr
#1112
La Mesa, CA 91942
Phone (619) 303-9000
8881 Fletcher Pkwy
Ste 250
La Mesa, CA 91942
Phone (619) 589-6888
8860 Center Dr
Ste 200
La Mesa, CA 91942
Phone (619) 740-5100
655 Euclid Ave
National City, CA 91950
Phone (619) 470-4115
2400 E 8th St
National City, CA 91950
Phone (619) 662-4118
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
3333 Camino del Rio S
Ste 400
San Diego, CA 92108
Phone (619) 450-4414
2275 Rio Bonito Way
Ste 220
San Diego, CA 92108
Phone (619) 822-1667
8312 Lake Murray Blvd
Ste O
San Diego, CA 92119
Phone (619) 333-8384
6280 Jackson Dr
Ste 4C
San Diego, CA 92119
Phone (619) 825-6325
6367 Alvarado Ct
Ste 200
San Diego, CA 92120
Phone (619) 583-1954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 080000006 | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050026 | Other | CA | BLUE CROSS |
| 350160 | Other | CA | CCS |
| HSC30026G | Medicaid | CA | |
| ZZT30222G | Medicaid | CA | |
| ZZT40026G | Medicaid | CA | |
| ZZZA3704Z | Other | CA | BLUE SHIELD |
Other names
- Sharp Grossmont Hospital
Other providers in La Mesa, CA
- Grossmont Gardens Operations, LLC
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Hospital Corporation
- Grossmont Imaging, LLC
- Grossmont Ipg LTD
All providers in La Mesa, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.