Dr Kenneth Gary Gross, MD - Dermatology in San Diego, CA

Dr Kenneth Gary Gross, MD is a Dermatology physician based in San Diego, California. Dr Kenneth Gary Gross is licensed to practice in California (license number A37440) and his current practice location is 5222 Balboa Ave, Sixth Floor, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 292-5101.

NPI number for Dr Kenneth Gary Gross is 1104865898 and his current mailing address is 5222 Balboa Ave, Sixth Floor, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104865898.

Contact Information

Dr Kenneth Gary Gross, MD
5222 Balboa Ave, Sixth Floor,
San Diego, CA 92117-6904
(858) 292-5101
(858) 292-0514



Physician's Profile

Full NameDr Kenneth Gary Gross
GenderMale
SpecialityDermatology
Location5222 Balboa Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104865898
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 05/05/2008

Medical Identifiers

Medical identifiers for Dr Kenneth Gary Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104865898NPI-NPPES
00A374400MedicaidCA
A37440OtherCACA STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery A37440 (California)Secondary
207NS0135XDermatology - Procedural Dermatology A37440 (California)Secondary
207N00000XDermatology A37440 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Gary Gross is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Gary Gross, MD
5222 Balboa Ave, Sixth Floor,
San Diego, CA 92117-6904

Ph: (858) 292-5101
Dr Kenneth Gary Gross, MD
5222 Balboa Ave, Sixth Floor,
San Diego, CA 92117-6904

Ph: (858) 292-5101

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Dermatology Doctors in San Diego, CA

Somaira Nowsheen, MD PHD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 8899 University Center Ln Ste 350, San Diego, CA 92122
Phone: 858-657-8322    
Dr. Stephen Erik Hemperly, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103
Phone: 619-298-9809    Fax: 619-298-9823
Dr. Ghada K Kassab, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109
Phone: 858-273-2726    Fax: 858-273-2725
Dr. Vikas Shrivastava, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 619-251-7471    
Kathleen Kramer, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 196-532-6400    
Dr. Michelle Terez Pelle, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103
Phone: 619-542-0013    Fax: 619-542-0559
Sharon Jacob-soo, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3860 Calle Fortunada, Ste #210, San Diego, CA 92123
Phone: 858-309-6303    Fax: 858-309-6301

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