Active NPI
Kuljinder Singh Grewal, M.D.
- Retina Specialist (Ophthalmology) Physician
- La Mesa, CA
National Provider Identifier
1700807393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- A34108
- Practice address
- 8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131 - Phone
- (619) 644-1400
- Fax
- (619) 644-1422
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | A34108 | CA | Primary |
| Ophthalmology Physician | 207W00000X | A34108 | CA |
Addresses
Primary practice location
8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131
Mailing address
8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131
Phone (619) 644-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A341080 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8881 Fletcher Pkwy
Suite 104
La Mesa, CA 91942-3131
Phone (619) 644-1400
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.58 of 100
- Quality
- 95.16
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34108 | CA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuljinder S Grewal M D P C | Ophthalmology | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
534 S 8th St
El Centro, CA 92243
Phone (760) 352-4361
8881 Fletcher Pkwy
Ste 104
La Mesa, CA 91942
Phone (619) 442-0999
Interoperability endpoints
- kuljindergrewalmd@drgrewal.direct.eyemdemr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- La Mesa, CA
- NPI 1144492455
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1700807393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8881 FLETCHER PARKWAY",
"address_2": "SUITE 104",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423131",
"telephone_number": "619-644-1400",
"fax_number": "619-644-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PARKWAY",
"address_2": "SUITE 104",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423131",
"telephone_number": "619-644-1400",
"fax_number": "619-644-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "KULJINDER",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "A34108",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A34108",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A341080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.