NPIMap

Organization Active NPI

Jeffrey D. Gross, M.D., Inc.

Doing business as California Comprehensive Injury Institute

  • Neurological Surgery Physician
  • Laguna Niguel, CA
National Provider Identifier
1467779959
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G79394 Issued in CA
Legal business name
JEFFREY D. GROSS, M.D., INC.
Doing business as
California Comprehensive Injury Institute
Practice address
27882 Forbes Rd
Laguna Niguel, CA 92677-1267
Phone
(949) 364-3888
Fax
(949) 364-6333
NPI assigned
Apr 23, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Jeffrey D. Gross, M.D.NPI 1407961188
Title
President
Phone
(949) 364-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G79394 CA Primary

Addresses

Primary practice location

27882 Forbes Rd
Laguna Niguel, CA 92677-1267

Mailing address

2701 Harbor Blvd # 214
Costa Mesa, CA 92626-5153
Phone (714) 378-1100

Other names 1

  • California Comprehensive Injury Institute Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Harbor Blvd
#214
Costa Mesa, CA 92626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1467779959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HARBOR BLVD # 214",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265153",
            "telephone_number": "714-378-1100",
            "fax_number": "714-378-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-364-3888",
            "fax_number": "949-364-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. GROSS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G79394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Comprehensive Injury Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.