NPIMap

Organization Active NPI

Grossmont Hospital Corporation

Doing business as Sharp Grossmont Hospital

  • General Acute Care Hospital
  • La Mesa, CA
National Provider Identifier
1528041811
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
080000006 Issued in CA
Legal business name
GROSSMONT HOSPITAL CORPORATION
Doing business as
Sharp Grossmont Hospital
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 740-6000
NPI assigned
Nov 21, 2005
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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
General Acute Care Hospital 282N00000X 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 6

IdentifierTypeStateIssuer
ZZT30222GMedicaidCA
050026OtherCABLUE CROSS
350160OtherCACCS
ZZT40026GMedicaidCA
HSC30026GMedicaidCA
ZZZA3704ZOtherCABLUE SHIELD

Other names 1

  • Sharp Grossmont Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528041811. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 2, 1991 in CA
Enrollment address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

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: Hospital

Medicare Care Compare
Listed as
Grossmont HospitalCCN 050026 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Alvarado Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

  • Sharp Healthcare

    dba Sharp Rees Stealy Clinics Laboratory - Sorrento Mesa

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

    Member Of

    NPD member

Locations (25 of 38)

1832 Alpine Blvd
Ste B
Alpine, CA 91901
Phone (619) 326-4445

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

955 Lane Ave
Ste 200
Chula Vista, CA 91914
Phone (619) 421-3400

131 Orange Ave
Ste 101
Coronado, CA 92118
Phone (619) 522-0399

744 Broadway
Ste 100
El Cajon, CA 92021
Phone (619) 456-9292

488 E Valley Pkwy
Ste 107
Escondido, CA 92025
Phone (760) 432-8800

700 W El Norte Pkwy
Ste 200
Escondido, CA 92026
Phone (607) 435-8727

5129 Garfield St
La Mesa, CA 91941
Phone (619) 464-5174

5525 Grossmont Center Dr
Ste 602
La Mesa, CA 91942
Phone (619) 740-4488

5565 Grossmont Center Dr
#1112
La Mesa, CA 91942
Phone (619) 303-9000

5565 Grossmont Center Dr
#3101
La Mesa, CA 91942

5565 Grossmont Center Dr
Bldg 3101
La Mesa, CA 91942

5565 Grossmont Center Dr
Ste 353
La Mesa, CA 91942
Phone (619) 465-3443

7051 Alvarado Rd
Ste 201
La Mesa, CA 91942

8851 Center Dr
Ste 303
La Mesa, CA 91942
Phone (619) 464-1138

8851 Center Dr
Ste 304
La Mesa, CA 91942
Phone (619) 589-9158

8851 Center Dr
Ste 400
La Mesa, CA 91942
Phone (619) 462-2385

8851 Center Dr
Ste 603
La Mesa, CA 91942
Phone (619) 667-4545

8860 Center Dr
Ste 100
La Mesa, CA 91942
Phone (619) 740-4000

8860 Center Dr
Ste 200
La Mesa, CA 91942
Phone (619) 740-5100

8860 Center Dr
Ste 250
La Mesa, CA 91942
Phone (619) 740-5100

8881 Fletcher Pkwy
Ste 105B
La Mesa, CA 91942
Phone (619) 403-5700

8881 Fletcher Pkwy
Ste 336
La Mesa, CA 91942
Phone (301) 502-1726

26732 Crown Valley Pkwy
Ste 571
Mission Viejo, CA 92691
Phone (949) 229-1441

502 Euclid Ave
Ste 203
National City, CA 91950
Phone (619) 345-4566

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
William E Strukel Individual Corporate OfficerSecretary Jan 1, 2025
Diane Keltner Individual Corporate DirectorBoard Member Jun 1, 2017
Steven R Allsing Individual Corporate DirectorBoard Member Jan 1, 2021
Sharp Healthcare Organization, San Diego, CA Corporation Operational/Managerial Control May 29, 1991
Brian S Moore Individual Corporate DirectorBoard Member Jun 1, 2020
Dee M Ammon Individual Corporate OfficerChair Jun 1, 2020
Virginia Hall Individual Corporate Director Jun 1, 2025
Ron Oberndorfer Individual Corporate DirectorBoard Member Jun 1, 2017
Christopher D Howard Individual Corporate DirectorCeo Sharp Healthcare/Board Member Mar 1, 2019
W-2 Managing EmployeeCeo Sharp Healthcare/Board Member Jan 31, 2019
Howard Levenson Individual Corporate Director Jun 1, 2025
Randolph S Lenac Individual Corporate OfficerTreasurer Jun 1, 2020
William Evans Individual Corporate OfficerBoard Member Dec 1, 2016
W-2 Managing EmployeeCeo Dec 1, 2016
Brian Potter Individual Corporate Director Jun 1, 2025
Ann Goldberg Individual Corporate Director Jun 1, 2025
Margaret Watkins Individual Corporate Director Jun 1, 2025
John Fonseca Individual Corporate DirectorVice Chair Feb 1, 2019

Owners & managing parties with NPI records 6

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 359

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.

View all 359

Affiliated clinicians 878

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

View all 878

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1528041811",
    "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",
            "fax_number": "858-499-4738"
        },
        {
            "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": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2015-08-19",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "080000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30222G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050026",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "350160",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40026G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30026G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA3704Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Grossmont Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.