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

Map and Direction




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

Reviews and Comments


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