DR. KENNETH GARY GROSS M.D.
NPI 1104865898
Dermatology in San Diego, CA

Active since June 06, 2006
5222 BALBOA AVE, SIXTH FLOOR, SAN DIEGO, CA 92117(858) 292-5101(858) 292-0514 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Gary Gross M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH GARY GROSS M.D. (NPI 1104865898) is an individual dermatology provider in San Diego, California, licensed in California (A37440) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104865898
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. KENNETH GARY GROSSCredential: M.D.
Location Address5222 BALBOA AVE, SIXTH FLOORSan Diego, CA 92117-6904
Mailing Address5222 Balboa Ave, Sixth FloorSan Diego, CA 92117-6904 · (858) 292-5101 · Fax (858) 292-0514
Fax(858) 292-0514
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 5, 2008
NPI 1104865898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A37440
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A37440 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A37440 (CA)
5222 BALBOA AVE, San Diego, CA 92117

Other Identifiers 4

OtherA37440CA · Ca State License
Medicaid00A374400CA
Medicare UPINA28378CA
Medicare ID-Type UnspecifiedWA37440ACA · Medicare Id

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
Dermatology
5222 BALBOA AVE, FIFTH FLOOR
SAN DIEGO, CA 92117
Legal Medicine
5222 BALBOA AVE, STE 45
SAN DIEGO, CA 92117
Acupuncturist
5222 BALBOA AVE, SUITE 43
SAN DIEGO, CA 92117
Podiatrist (Foot & Ankle Surgery)
5222 BALBOA AVE, SUITE 52
SAN DIEGO, CA 92117
Pharmacy (Specialty Pharmacy)
5222 BALBOA AVE
SAN DIEGO, CA 92117
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
Dentist
5222 BALBOA AVE, SUITE 71
SAN DIEGO, CA 92117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Gross's NPI number?

The NPI number for Kenneth Gross is 1104865898. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kenneth Gross located?

Kenneth Gross practices at 5222 Balboa Ave Sixth Floor, San Diego, CA 92117. The listed phone number is (858) 292-5101.

What is Kenneth Gross's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Gross was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.