JD Gross Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G79394 Issued in CA

Legal business name

JD GROSS MEDICAL CORPORATION

Doing business as

California Comprehensive Injury Institute

Practice address

27882 Forbes Rd
Laguna Niguel, CA 92677-1267

Phone

(949) 364-6888

Fax

(949) 364-6333

NPI assigned

Jan 13, 2011

Organization subpart

No

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.

Title

President

Phone

(714) 378-1100

Specialties & licenses 1

Addresses

Other names 1

• California Comprehensive Injury Institute Doing business as

Tax ID family

Arizona Medical Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JD Gross Medical Corporation

  dba Arizona Medical Management

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1801194196
  NPD tax ID

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1659676245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HARBOR BLVD",
            "address_2": "BLDG #E2, SUITE 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": "949-364-6888",
            "fax_number": "949-364-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD GROSS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "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": "714-378-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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"
        }
    ]
}

• Donna Jean Janisse, D.C.
• Jenise Jaques, LMT
• Jason Brown MD Inc a Medical Corporation
• Golnoush Javaheri, BCBA
• JBW Associates
• Jeffrey D. Gross, M.D., Inc. (California Comprehensive Injury Institute)
• Ida Jelveh, PA-C, MSPAS, MPH
• Jena Lee Jenkins
• Randall Jenks, PH.D. CCC-SLP
• Martin Thomas Jensen, M.D.

• Neurological Surgery Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.