Robert Alan Gross, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G21342 Issued in CA

Practice address

3831 Hughes Ave
# 706
Culver City, CA 90232-6840

Phone

(310) 204-4044

Fax

(310) 204-1449

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert a Gross, M. D. Inc.

  • Gastroenterology Physician
  • Culver City, CA
  • NPI 1881884492
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1790821163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "# 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326840",
            "telephone_number": "310-204-4044",
            "fax_number": "310-204-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "# 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326840",
            "telephone_number": "310-204-4044",
            "fax_number": "310-204-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G21342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G21342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayane Grigoryan
• Lisa Karen Grimes, PH.D.
• Tiffany Shantel Grimes, PHD
• Sarah Ann Grogan
• Elliot Gross, M.D.
• Frederick M Grossman, MD
• Merlyn Ann Grossman, NP
• Groupo Aquila (Extended Healthcare Systems)
• Gregory Grunke
• Barbara Guadarrama

• Gastroenterology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.