Pediatric primary care in La Mesa's Grossmont area runs through Kaiser Permanente's Parkway Drive medical offices, where Shanti Rao, MD provides well-child and acute-visit coverage as part of a 91-physician, 16-specialty campus. Kaiser's integrated model co-locates pediatric visits with same-building radiology, laboratory, and pharmacy, though families often pursue independent vision screening — La Mesa Vision Center handles many of those school-readiness refractive exams outside the Kaiser network. The Parkway Drive campus supports tri-lingual intake in English, Spanish, and Tagalog, reflecting La Mesa's demographic composition across the 91942 ZIP. Pediatric services at this location encompass newborn through adolescent care, including immunization series management, developmental milestone tracking, and behavioral health screening per AAP Bright Futures guidelines. Behavioral and developmental concerns identified during well-child visits — including speech delay, ADHD screening, and anxiety — generate referrals to community-based neuropsychological evaluators, with Brain Learning Psychological Corporation providing that assessment tier in La Mesa. Highest-acuity pediatric workflows include urgent-care triage for acute respiratory illness, point-of-care rapid strep and influenza antigen testing, and same-day radiology reads for suspected pediatric fractures requiring orthopedic consultation.