Grossmont Dermatology Medical Clinic - Medicare Primary Care in La Mesa, CA

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Grossmont Dermatology Medical Clinic is a medicare enrolled primary clinic (Dermatology - Procedural Dermatology) in La Mesa, California. The current practice location for Grossmont Dermatology Medical Clinic is 8860 Center Dr, Ste 300, La Mesa, California. For appointments, you can reach them via phone at (619) 462-1670. The mailing address for Grossmont Dermatology Medical Clinic is 8860 Center Dr Ste 300, La Mesa, California and phone number is (619) 462-1670.

Grossmont Dermatology Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194838441. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 462-1670.

Contact Information

Grossmont Dermatology Medical Clinic
8860 Center Dr
Ste 300
La Mesa
CA 91942-3068
(619) 462-1670
(619) 462-3209

Map and Direction


Primary Care Clinic Profile

Full NameGrossmont Dermatology Medical Clinic
SpecialityDermatology
Location8860 Center Dr, La Mesa, California
Authorized Official Name and PositionMonica Del Valle (BILLING SUPERVISOR)
Authorized Official Contact6194621670
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grossmont Dermatology Medical Clinic
8860 Center Dr Ste 300
La Mesa
CA 91942-7001

Ph: (619) 462-1670		Grossmont Dermatology Medical Clinic
8860 Center Dr
Ste 300
La Mesa
CA 91942-3068

Ph: (619) 462-1670

NPI Details:

NPI Number1194838441
Provider Enumeration Date08/17/2006
Last Update Date09/30/2025

Medicare PECOS Information:

Medicare PECOS PAC ID4981672342
Medicare Enrollment IDO20040922001271

Medical Identifiers

Medical identifiers for Grossmont Dermatology Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194838441NPI-NPPES
00A233400MedicaidCA
00G733400MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
207ND0101XDermatology - Mohs-micrographic Surgery (* (Not Available))Secondary
207NS0135XDermatology - Procedural Dermatology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grossmont Dermatology Medical Clinic acts as a billing entity for following providers:
Provider NameChristopher V Crosby
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1497931380
PECOS PAC ID: 0941324644
Enrollment ID: I20100902000084
Provider NameMichelle Balow Crosby
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1558549303
PECOS PAC ID: 3971627597
Enrollment ID: I20100902000482
Provider NameGary M White
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1437208758
PECOS PAC ID: 5890811301
Enrollment ID: I20100921001456
Provider NameMaki C Goskowicz
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1821096942
PECOS PAC ID: 0042263469
Enrollment ID: I20110208001009
Provider NameRobert Edward Bushman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1578561692
PECOS PAC ID: 9133172554
Enrollment ID: I20110209000288
Provider NameDavid Erik Greene
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1285600403
PECOS PAC ID: 9234383563
Enrollment ID: I20130213000523
Provider NameNeeta Varshney
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689806606
PECOS PAC ID: 6204063175
Enrollment ID: I20131220001680
Provider NameShinko K Lin
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1205130036
PECOS PAC ID: 8628298254
Enrollment ID: I20141003000000
Provider NameWiggin Wu Lee
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1811239064
PECOS PAC ID: 1850683970
Enrollment ID: I20170718002904
Provider NameSam Khalifian
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1174926190
PECOS PAC ID: 8921304163
Enrollment ID: I20190819000077
Provider NameConnor Marcus Caldwell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730726902
PECOS PAC ID: 5991130569
Enrollment ID: I20200109001096
Provider NameDerek Nickerson
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1265895619
PECOS PAC ID: 3072888494
Enrollment ID: I20210712000833
Provider NameAustin Ambur
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1649731423
PECOS PAC ID: 2264887546
Enrollment ID: I20231005001941
Provider NameVictoria Vuong Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619468709
PECOS PAC ID: 5890238760
Enrollment ID: I20240619002654

Reviews and Comments


Dermatology in La Mesa, CA

Shota Gurtch, M.d., Inc., A Professional Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942
Phone: 619-668-8100    
Michael Andrisani Md Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941
Phone: 619-469-3822    
Mohammed Miradi Md Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942
Phone: 619-644-1483    
Encompass Family And Internal Medicine Group Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942
Phone: 619-460-7775    Fax: 858-519-5446
Dap Health, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942
Phone: 619-464-6434    Fax: 619-464-5109
Raed Al-naser, M.d., A Medical Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942
Phone: 619-589-9158    Fax: 619-462-0371
Fadi A. Haddad, M.d., Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8860 Center Dr Ste 320, La Mesa, CA 91942
Phone: 619-376-1904    Fax: 619-376-1909

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.