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DOUGLAS GROSS M.D.
NPI 1497730295
Pediatrics in Sacramento, CA

Active since December 14, 2005PECOS Enrolled
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(530) 754-9408 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Gross M.d. NPPES

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

DOUGLAS GROSS M.D. (NPI 1497730295) is an individual pediatrics provider in Sacramento, California, licensed in California (A71930) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497730295
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS GROSSCredential: M.D.
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (530) 754-9408
Phone(530) 754-9408
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateDecember 2, 2011
✔ NPI 1497730295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A71930
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2315 STOCKTON BLVD, Sacramento, CA 95817
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Other Identifiers 2

Medicare ID-Type Unspecified00A719300CA
Medicare UPINF68467CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Gross M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Gross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Ca
Same address
Emergency Medicine
2315 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The Univ Of Ca
  • 2,570 clinicians in this Medicare group
NPI 1063405074 (916) 734-2363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Douglas Gross's NPI number?

The NPI number for Douglas Gross is 1497730295. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Douglas Gross located?

Douglas Gross practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (530) 754-9408.

What is Douglas Gross's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Gross enrolled in Medicare?

Yes. Douglas Gross is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Gross reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Gross was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.