DR. MARC J. GROSS (NPI# 1689615130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689615130 |
| Entity Type | Individual |
| Full Name | DR. MARC J. GROSS |
| Credential | D.D.S. |
| Practice Address |
5400 Balboa Blvd Encino CA 91316-1502 |
| Mailing Address |
5400 Balboa Blvd Encino CA 91316-5229 |
| Practice Telephone | 8189905220 |
| Practice Fax Number | 8189905621 |
| Mailing Telephone | 8189905220 |
| Mailing Fax Number | 8189905621 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DX35724 | CA | Dental Providers |
| Street Address |
5400 BALBOA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360164 | Robert M Hartman | Dermatology | 5400 Balboa Blvd, Suite 329, Encino, CA 91316-5246 | 2005-07-15 |
| 1831637842 | Danielle Sanchez-hughes | Occupational Therapist | 5400 Balboa Blvd, Encino, CA 91316-1502 | 2017-02-09 |
| 1932659547 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 5400 Balboa Blvd, Ste 126, Encino, CA 91316-1502 | 2016-10-06 |
| 1215382700 | Healing Hands Rehab Inc | Prosthetic/Orthotic Supplier | 5400 Balboa Blvd, Suite 302, Encino, CA 91316-1502 | 2016-05-03 |
| 1245695220 | Leonora Fihman, Dpm, PC | Podiatrist | 5400 Balboa Blvd, 321, Encino, CA 91316-1502 | 2015-12-17 |
| 1356721351 | Maurice R Masliah Dpm | Clinic/Center | 5400 Balboa Blvd, 225, Encino, CA 91316-1502 | 2015-06-04 |
| 1659764710 | Retina Institute of California Medical Group | Optometrist | 5400 Balboa Blvd, 222, Encino, CA 91316-1502 | 2015-03-13 |
| 1427440262 | Linda Y Makuta Dds PC | Clinic/Center | 5400 Balboa Blvd, Suite 229, Encino, CA 91316-1502 | 2015-03-03 |
| 1770917585 | Nahid Rezapour | Student in an Organized Health Care Education/Training Program | 5400 Balboa Blvd, Ste 209, Encino, CA 91316-5218 | 2013-08-28 |
| 1639420078 | Swanson, Conti and Associates | Psychologist | 5400 Balboa Blvd, Suite 311, Encino, CA 91316-1502 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063643773 | Kory Michael Zussman | Dentist | 16311 Ventura Blvd Ste 625, Encino, CA 91436-4317 | 2009-07-29 |
| 1497306070 | Shermineh Zadeh Dds Inc | Dentist | 16133 Ventura Blvd Ste 445, Encino, CA 91436-2429 | 2019-09-24 |
| 1639624463 | Kimia & Lorenz Dental Partnership | Dentist | 15720 Ventura Blvd Ste 322, Encino, CA 91436-2993 | 2016-08-22 |
| 1184970675 | Robert Leigh Sobel | Dentist | 16311 Ventura Blvd, Suite 1110, Encino, CA 91436-2124 | 2012-08-02 |
| 1427242346 | Sam Israel Naim | Dentist | 16661 Ventura Blvd, Suite 308, Encino, CA 91436-1914 | 2007-09-04 |
| 1578754172 | Steven Gary Exler | Dentist | 16311 Ventura Blvd, Suite 1005, Encino, CA 91436-2124 | 2007-08-08 |
| 1629109996 | Sam S Khorsandi | Dentist | 16542 Ventura Blvd, Suite 506, Encino, CA 91436-2005 | 2007-03-08 |
| 1740368117 | Alfred Penhaskashi | Dentist | 5363 Balboa Blvd, Ste # 226, Encino, CA 91316 | 2006-11-01 |
| 1992748529 | Gary Wayne Green | Dentist | 16133 Ventura Blvd, Suite 1040, Encino, CA 91436-2403 | 2006-06-13 |
| 1295727659 | Franklin D Niver | Dentist | 16311 Ventura Blvd, Suite 1110, Encino, CA 91436-2124 | 2005-08-21 |
| Find all providers in ENCINO | ||||
Please comment or provide details below to improve the information on DR. MARC J. GROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.