Organization Active NPI

Robert a Gross MD Inc

  • Specialist
  • Culver City, CA
National Provider Identifier
1053611210
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21342 Issued in CA
Legal business name
ROBERT A GROSS MD INC
Practice address
3831 Hughes Ave Ste 706
Culver City, CA 90232-6840
Phone
(310) 204-4044
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Robert Gross, M.D.
Title
Owner
Phone
(310) 204-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G21342 CA Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 706
Culver City, CA 90232-6840

Mailing address

3831 Hughes Ave Ste 706
Culver City, CA 90232-6840
Phone (310) 204-4044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1053611210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326840",
            "telephone_number": "310-204-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326840",
            "telephone_number": "310-204-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A GROSS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-204-4044",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.