Active NPI
Jonothon E Gross, MD
- Psychiatry Physician
- Albany, CA
National Provider Identifier
1750338091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G27229
- Practice address
- 1225 Marin Ave
Albany, CA 94706-2044 - Phone
- (510) 524-0806
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G27229 | CA | Primary |
Addresses
Primary practice location
1225 Marin Ave
Albany, CA 94706-2044
Mailing address
1225 Marin Ave
Albany, CA 94706-2044
Phone (510) 524-0806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750338091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MARIN AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062044",
"telephone_number": "510-524-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MARIN AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062044",
"telephone_number": "510-524-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JONOTHON",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G27229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.