Grossmont Dermatology Medical Clinic
NPI 1194838441ActiveOrganization· Dermatology, Procedural Dermatology· La Mesa, CA
Dermatology, Procedural Dermatology in La Mesa, California, registered in NPPES in August 2006, part of Coastal Skin and Eye Institute. The authorized official on file is Monica Del Valle, Billing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194838441 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Coastal Skin and Eye Institute |
| NPI issued | Aug 17, 2006 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Ophthalmology | 207W00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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