Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Mark Gross MD Inc

Organization Dermatology Physician · NPI 1871658278

Keith Mark Gross MD Inc is a Dermatology Physician in Victorville, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15247 11th St Ste 400
Victorville, CA 92395-3727
Phone: (909) 335-8638
Fax: (909) 335-8644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G63544 (CA)

Record details

NPI number1871658278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Gross — Owner · (909) 335-8638
NPI enumeratedDecember 26, 2006
Last updated in NPPESJanuary 17, 2008
Mailing addressPo Box 51197, Dept 1401, Los Angeles, CA 90051-5497

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