Active NPI
Jeffrey Ross Gunter, MD
- Dermatology Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G63889
- Practice address
- 44215 15TH St W
309
Lancaster, CA 93534-4014 - Phone
- (909) 335-8638
- Fax
- (909) 335-8644
- NPI assigned
- May 31, 2006
- Last updated
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G63889 | CA | Primary |
| Dermatology Physician | 207N00000X | 7114 | NV |
Addresses
Primary practice location
44215 15TH St W
309
Lancaster, CA 93534-4014
Mailing address
Dept 6231
Los Angeles, CA 90084-0001
Phone (909) 335-8638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Southern California Keck School of Medicine, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1101 4TH Ave
Canyon, TX 79015-3701
Phone (806) 655-7155
1345 Rocking W Dr
Bishop, CA 93514-1900
Phone (760) 873-5139
1600 S Coulter St
D 402
Amarillo, TX 79106-1710
Phone (806) 803-9427
200 N Lutterloh Ave
Gatesville, TX 76528-1424
Phone (661) 949-0004
2340 E Calvada Blvd
Suite 2
Pahrump, NV 89048-5821
Phone (775) 727-9600
2401 N Stockton Hill Rd
Suite 5
Kingman, AZ 86401-4189
Phone (928) 377-3941
2821 W Horizon Ridge Pkwy
Suite 211
Henderson, NV 89052-4429
Phone (702) 570-6604
417 E 1St St
Dumas, TX 79029-3201
Phone (806) 421-0848
44215 15TH St W
Suite 309
Lancaster, CA 93534-5505
500 Adams Ave
Odessa, TX 79761-4656
Phone (432) 614-0285
5950 S Cooper Rd
Suite 4
Chandler, AZ 85249-2221
Phone (661) 949-0004
6609 Sanger Ave
Waco, TX 76710-4252
Phone (254) 399-6941
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 57 |
| Removal of skin lesions | 463 |
| Removal of skin cancer | 1431 |
| Removal or shaving of skin growth | 210 |
| Skin biopsy | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7114 | NV | MD | Dentist |
| G63889 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antelope Valley Health Care District | Past | Accepting new patients | |
| Ridgecrest Regional Hospital | Past | Accepting new patients | |
| Jonathan G Wash DPM PA | Past | Accepting new patients | |
| Keith Mark Gross MD Inc | Dermatology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- Dermatology Physician
- Victorville, CA
- NPI 1871658278
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
-
- Foot & Ankle Surgery Podiatrist
- Waco, TX
- NPI 1639122708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1588601702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 6231",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900840001",
"telephone_number": "909-335-8638",
"fax_number": "909-335-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44215 15TH ST W",
"address_2": "309",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344014",
"telephone_number": "909-335-8638",
"fax_number": "909-335-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "JEFFREY",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G63889",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NV",
"license": "7114",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.