Jay Gross, M.D., a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G36307 Issued in CA

Legal business name

JAY GROSS, M.D., A PROFESSIONAL CORPORATION

Practice address

2222 Santa Monica Blvd
Suite 107
Santa Monica, CA 90404-2304

Phone

(310) 496-3770

Fax

(310) 496-3767

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Rachel Gracia

Title

Office Manager

Phone

(310) 496-3770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1134370620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD",
            "address_2": "SUITE 107",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-496-3770",
            "fax_number": "310-496-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD",
            "address_2": "SUITE 107",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-496-3770",
            "fax_number": "310-496-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY GROSS, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-496-3770"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G36307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G373070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristie Jauregi Cancio
• Abe Javaheri, PHARM.D.
• Khalid Kurbanali Javeri, M.D.
• Javid Ghandehari, MD, a California Medical Corporation
• John Francis Javier, P.T.
• Jay Patel, M.D., Inc.
• Jaydeeze Beauty and Health Care
• Monica Jedlinski, NP
• Paul Leon Jefferson
• Jeffrey L. Sebastian, M D, Inc

• Ophthalmology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.