JD Gross Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A9441 Issued in CA

Legal business name

JD GROSS MEDICAL CORPORATION

Doing business as

Arizona Medical Management

Practice address

2418 E Danbury Rd
Phoenix, AZ 85032-2425

Phone

(714) 378-1100

Fax

(714) 378-1150

NPI assigned

Mar 10, 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 3

Addresses

Other names 1

• Arizona Medical Management 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

  • Neurological Surgery Physician
  • Laguna Niguel, CA
  • NPI 1659676245
  NPD tax ID

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1801194196",
    "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": "2418 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322425",
            "telephone_number": "714-378-1100",
            "fax_number": "714-378-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD GROSS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "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": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A9441",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A9441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Medical Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JCL Gastroenterology, LLC
• JCL Gastroenterology, LLC
• JCL Gastroenterology, LLC
• JCL Neurology,LLC
• JCL Surgery, LLC
• Jdphysicaltherapy LLC
• JDS Home Care LLC
• Cassandra Jean Jean Lopez
• Alethea Jean Philippe, PT, DPT
• Aaliyah Jean

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.