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

Dr. Kenneth Gary Gross, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1104865898

Dr. Kenneth Gary Gross, MD is an MOHS-Micrographic Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5222 Balboa Ave Sixth Fl
San Diego, CA 92117-6904
Phone: (858) 292-5101
Fax: (858) 292-0514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A37440 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A37440 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A37440 (CA)

Record details

NPI number1104865898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESMay 5, 2008

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