Grossmont Outpatient Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GROSSMONT OUTPATIENT SURGICAL CENTER

Practice address

5565 Grossmont Center Drive
BLDG. 3 Suite 250
La Mesa, CA 91942-3026

Phone

(619) 462-8620

Fax

(619) 462-8621

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Rose M Ellis, RN

Title

Administrator

Phone

(619) 462-8620

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Russell Lake, M.D.

  • Orthopaedic Surgery Physician
  • La Mesa, CA
  • NPI 1568497238
  NPD (past)
• John Howard Taylor, MD

  • Otolaryngology Physician
  • La Mesa, CA
  • NPI 1659396976
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811095136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "BLDG. 3 SUITE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "619-462-8620",
            "fax_number": "619-462-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "BLDG. 3 SUITE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "619-462-8620",
            "fax_number": "619-462-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT OUTPATIENT SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-462-8620",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmont Imaging, LLC
• Grossmont Ipg LTD
• Grossmont Medical Center Acupuncture Clinic
• Grossmont Medical Clinic a Professional Corporation
• Grossmont OB/GYN Medical Group Inc
• Grossmont Pediatrics Operated by Neighborhood Healthcare
• Grossmont Skilled Care, Inc.
• Grossmont Surgery Center LP
• Grossmont Surgery Center, L.P.
• Grossmont Surgical Associates,Inc

• Ambulatory Surgical Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.