Active NPI
Roshanak Alialy, MD
- Anatomic Pathology & Clinical Pathology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A184890
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 740-4492
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A184890 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Mailing address
PO Box 749080
Los Angeles, CA 90074-9080
Phone (619) 740-4492
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821002386 | CA | Practitioner - Pathology | 2264779750 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Analytic Pathology Medical Group IncPacific Rim Pathology Medical Corporation
Practice addresses (Care Compare)
5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-4492
9295 Farnham St
Suite 100
San Diego, CA 92123-1254
Phone (858) 939-3660
Hospital & facility affiliations
- Tri-City Medical Center
- Sharp Memorial Hospital
- Grossmont Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184890 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Rim Pathology Medical Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Analytic Pathology Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pacific Rim Pathology Medical Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
File 1440
Pasadena, CA 91199
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
9295 Farnham St
Ste 100
San Diego, CA 92123
Phone (858) 939-2660
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- La Mesa, CA
- NPI 1568431088
Anatomic Pathology & Clinical Pathology, CA
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1922069087
Anatomic Pathology & Clinical Pathology, CA
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1073574075
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1730683160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749080",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749080",
"telephone_number": "619-740-4492"
},
{
"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": "619-740-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIALY",
"first_name": "ROSHANAK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A184890",
"primary": true
}
],
"identifiers": [],
"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 Aug 4, 2025; 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.