Individual provider Active NPI

Daniel A Gross, MD

  • Procedural Dermatology Physician
  • Tarzana, CA
National Provider Identifier
1396740056
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A20584 Issued in CA
Practice address
18364 Clark St
Tarzana, CA 91356-3502
Phone
(818) 345-7122
Fax
(818) 345-7448
NPI assigned
Jun 17, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A20584 CA
Procedural Dermatology Physician 207NS0135X A20584 CA Primary

Addresses

Primary practice location

18364 Clark St
Tarzana, CA 91356-3502

Mailing address

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000257 CA Practitioner - Dermatology 0042226615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Dermatologic Medical Group IncGroup PAC ID 8527072651, 3 clinicians

Practice addresses (Care Compare)

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

18364 Clark St
Tarzana, CA 91356-3597

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions659
Removal of nail tissue1-10
Skin biopsy132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20584CAMDProfessional Counselor
A20584CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dermatologic Medical Group, Inc Dermatology CurrentSince Jan 1, 1973 Accepting new patients
Simi Dermatologic Medical Center, Inc Dermatology Past Accepting new patients

Locations

18364 Clark St
Tarzana, CA 91356
Phone (818) 345-7122

18364 Clark St
Ste 105
Tarzana, CA 91356
Phone (818) 345-7122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396740056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A20584",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A20584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.