Keith M Gross (NPI# 1952357188, PAC ID# 4880589670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1952357188 |
| PAC ID by PECOS | 4880589670 |
| Professional Enrollment ID | I20050126001031 |
| Full Name | Keith M Gross |
| Organization Legal Name | KEITH MARK GROSS MD INC |
| Address |
1113 Alta Ave Suite 200 Upland CA 91786-2803 |
| Phone Number | 9099851948 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4587712500 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 655 S 7th Ave, Barstow, CA 92311-3001 | 7602553376 | KEITH MARK GROSS MD INC |
| 500 N Broadway, Suite 26, Blythe, CA 92225-1279 | 7609213376 | KEITH MARK GROSS MD INC |
| 1900 Idaho St, Suite 102, Elko, NV 89801-2637 | 7757539799 | KEITH MARK GROSS MD INC |
| 801 E Williams Ave, Suite 3308, Fallon, NV 89406-3052 | 7755756300 | KEITH MARK GROSS MD INC |
| 240 Us Hwy 95a S A, Fernley, NV 89408-9738 | 7757539799 | KEITH MARK GROSS MD INC |
| 1810 1st St, Susanville, CA 96130-4561 | 5302577335 | KEITH MARK GROSS MD INC |
| 1113 Alta Ave, Suite 200, Upland, CA 91786-2803 | 9099851948 | KEITH MARK GROSS MD INC |
| 12550 Hesperia Rd, Suite 218, Victorville, CA 92395-5873 | 7609519895 | KEITH MARK GROSS MD INC |
| 130 E Haskell St, Winnemucca, NV 89445-3253 | 7757539799 | KEITH MARK GROSS MD INC |
| 11274 S Fortuna Rd, D4, Yuma, AZ 85367-7813 | 9283423376 | KEITH MARK GROSS MD INC |
| Organization Legal Name | KEITH MARK GROSS MD INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Peck | Physician Assistant | Keith Mark Gross Md Inc | 51 E Haskell Rd B, Winnemucca, NV 89445-3523 |
| Teresa C Langslet | Physician Assistant | Keith Mark Gross Md Inc | 12550 Hesperia Rd, Suite 218, Victorville, CA 92395-5873 |
| Street Address |
1113 ALTA AVE SUITE 200 |
| City | UPLAND |
| State | CA |
| Zip | 91786-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis Brenner | Family Medicine | 1113 Alta Ave, Suite 110, Upland, CA 91786-2803 | |
| Richard L Armour | Family Medicine | 1113 Alta Ave, Suite 102, Upland, CA 91786-2803 | |
| Susan Christine Biegel | Internal Medicine | 1113 Alta Ave, Suite 220, Upland, CA 91786-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Smith | Nurse Practitioner | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Khin T Htun | Family Medicine | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Raul Castillo | Chiropractic | 659 E 15th St, Suite D, Upland, CA 91786-2333 | |
| Torhild E Kvarekvaal | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Ninfa P Weinzapfel | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Michael A Benavidez | Family Medicine | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
| Daryl C Caringi | Physical Medicine and Rehabilitation | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
| Morris Kokhab | Rheumatology | Morris Kokhab, M.d., A Medical Corporation | 974 W Foothill Blvd, Upland, CA 91786-3728 |
| Basem R Farag | Family Medicine | Advanced Medical and Urgent Care Center | 974 W Foothill Blvd, Upland, CA 91786-3728 |
| Louis M Dibernardo | Family Medicine | Advanced Medical and Urgent Care Center | 974 W Foothill Blvd, Upland, CA 91786-3728 |
| Find all physicians in zip 91786 | |||
| City | UPLAND |
| Zip Code | 91786 |
| Specialty | DERMATOLOGY |
| City + Specialty | UPLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Keith M Gross.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.