Grossmont OB/GYN Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GROSSMONT OB/GYN MEDICAL GROUP INC

Practice address

8851 Center Dr
Ste #500
La Mesa, CA 91942-3017

Phone

(619) 461-2660

Fax

(619) 461-5760

NPI assigned

Aug 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Geri Thomas

Title

Office Manager

Phone

(619) 461-2663

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922114131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE #500",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-461-2660",
            "fax_number": "619-461-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE #500",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-461-2660",
            "fax_number": "619-461-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT OB/GYN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-461-2663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS GROUP I.D.",
            "identifier": "C086184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ZZZ47807Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grossmont Hospital Corporation (Grossmont Hospital Outpatient Pharmacy)
• Grossmont Imaging, LLC
• Grossmont Ipg LTD
• Grossmont Medical Center Acupuncture Clinic
• Grossmont Medical Clinic a Professional Corporation
• Grossmont Outpatient Surgical Center
• Grossmont Pediatrics Operated by Neighborhood Healthcare
• Grossmont Skilled Care, Inc. (Grossmont Gardens Healthcare Center)
• Grossmont Surgery Center LP
• Grossmont Surgery Center, L.P.

• Specialist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.