Individual provider Active NPI

Howard Michael Gross, M.D.

  • Plastic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1467458273
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G61854 Issued in CA
Practice address
1722 State Street
Suite 201
Santa Barbara, CA 93101
Phone
(805) 898-2600
Fax
(805) 898-2604
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G061854 CA
Plastic Surgery Physician 208200000X G61854 CA Primary

Addresses

Primary practice location

1722 State Street
Suite 201
Santa Barbara, CA 93101

Mailing address

1722 State Street
Suite 201
Santa Barbara, CA 93101
Phone (805) 898-2600

Other identifiers 1

IdentifierTypeStateIssuer
00G618541MedicaidCA

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
I20080303000211 CA Practitioner - Plastic and Reconstructive Surgery 5294819181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1722 State St
Suite 201
Santa Barbara, CA 93101-2526
Phone (805) 898-2600

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61854CAMDDentist
G061854CAMDSpecialist
G61854CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Arts Surgical Center, LLC CurrentSince May 1, 2010 Accepting new patients
Surgi Art Inc Plastic Surgery Past Accepting new patients

Locations

1722 State St
Ste 202
Santa Barbara, CA 93101
Phone (805) 898-2600

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1467458273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE STREET",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-898-2600",
            "fax_number": "805-898-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE STREET",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-898-2600",
            "fax_number": "805-898-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "HOWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G061854",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G61854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G618541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.