Individual provider Active NPI

Jeffrey Ross Gunter, MD

  • Dermatology Physician
  • Lancaster, CA
National Provider Identifier
1588601702
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G63889 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 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, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040308001418 CA Practitioner - Dermatology 5092600882 Reassigns benefits to 1 organization
I20051005000773 NV Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5092600882 Reassigns benefits to 1 organization
I20130110000316 AZ Practitioner - Dermatology 5092600882 Reassigns benefits to 1 organization
I20140619000780 TX Practitioner - Dermatology 5092600882 Reassigns benefits to 1 organization

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
Jeffrey Ross Gunter MD IncGroup PAC ID 0042108326, 13 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision57
Removal of skin lesions463
Removal of skin cancer1431
Removal or shaving of skin growth210
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7114NVMDDentist
G63889CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.