Individual provider Active NPI

John Alexander Grimaldi, D.O.

  • Urology Physician
  • Chula Vista, CA
National Provider Identifier
1821157033
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20A11355 Issued in CA
Practice address
450 4TH Ave
Suite 312
Chula Vista, CA 91910-4426
Phone
(619) 420-0201
Fax
(619) 425-7795
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20A11355 CA Primary

Addresses

Primary practice location

450 4TH Ave
Suite 312
Chula Vista, CA 91910-4426

Mailing address

450 4TH Ave
Suite 312
Chula Vista, CA 91910-4426
Phone (619) 420-0201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjohnagrimaldi@direct.meditouchehr.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001071 CA Practitioner - Urology 3274633219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Midwestern University, Chicago College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

450 4TH Ave
Suite 312
Chula Vista, CA 91910-4429
Phone (619) 420-0201

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score
91.76 of 100Reported as individual
Quality
68.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
John a Grimaldi DO Inc Urology CurrentSince Sep 5, 2010 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 18, 2011 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

450 Fourth Ave
Ste 312
Chula Vista, CA 91910
Phone (619) 420-0201

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drjohnagrimaldi@direct.meditouchehr.com
  • Direct secure messaging: jgrimaldi28309@scrippshlth.medalliesdirect.net
  • Direct secure messaging: drjohnagrimaldi@jgd-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1821157033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "SUITE 312",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104426",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "SUITE 312",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104426",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjohnagrimaldi@direct.meditouchehr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "450 4th Ave",
            "address_2": "Suite 312",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919104426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.