Caring Physicians Medical Group in La Mesa's Grossmont area has provided internal medicine since 1998, with internist Salvatore Tarantino, MD holding a University of Perugia medical degree earned in 1981. The group manages chronic adult conditions including secondary hypertension and renovascular hypertension — cases requiring ongoing medication coordination through dispensaries like Medical Arts Pharmacy along the Grossmont medical corridor. Sharp Grossmont Hospital affiliation grants the Fletcher Parkway practice direct admission privileges at the 540-bed acute-care campus, streamlining referrals for inpatient evaluation when outpatient management escalates. The practice's internal medicine scope extends to recurrent urinary tract infections and polypharmacy reconciliation for patients on five or more concurrent prescriptions. Musculoskeletal comorbidities identified during hypertensive and diabetic evaluations generate outpatient rehabilitation referrals, with Grossmont Orthopedic Physical Therapy receiving post-evaluation cases from the Fletcher Parkway corridor. Highest-complexity visits address multi-organ overlap including renal artery stenosis driving resistant hypertension, catheter-associated UTI management in post-surgical patients, and sequential medication titration across ACE inhibitor, ARB, and calcium-channel-blocker classes.