Dr Gross Medical Center, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DR GROSS MEDICAL CENTER, INC

Practice address

1718 Colorado Blvd
Los Angeles, CA 90041

Phone

(323) 561-3006

Fax

(323) 561-3062

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Gross, MDNPI 1124053665

Title

Owner /Medical Director

Phone

(323) 561-3006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Benjamin Gross, M.D.

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1124053665
  NPD Authorized official
• Antuan Kiley, M.D.

  • Internal Medicine Physician
  • NPI 1619140050
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1538869037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-561-3006",
            "fax_number": "323-561-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-561-3006",
            "fax_number": "323-561-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GROSS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER /MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-561-3006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "G41777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.