Keith Mark Gross MD Inc
NPI 1871658278 · Dermatology Physician · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Mark Gross MD Inc is a Dermatology Physician organization in Victorville, CA (NPI 1871658278).
Provider details
- NPI number
- 1871658278
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keith Gross, Owner(909) 335-8638
- License
- G63544 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2008-01-17
Frequently asked questions
- What is Keith Mark Gross MD Inc's NPI number?
- Keith Mark Gross MD Inc's National Provider Identifier (NPI) is 1871658278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith Mark Gross MD Inc?
- Keith Mark Gross MD Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Mark Gross MD Inc located?
- Keith Mark Gross MD Inc's practice location on file with NPPES is 15247 11th St, Victorville, CA 92395-3727.
- What is Keith Mark Gross MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Keith Mark Gross MD Inc is (909) 335-8638.
- Does Keith Mark Gross MD Inc accept Medicare?
- Keith Mark Gross MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Keith Mark Gross MD Inc?
- The authorized official listed on Keith Mark Gross MD Inc's NPPES record is Keith Gross, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith Mark Gross MD Inc's NPI active?
- Yes — Keith Mark Gross MD Inc's NPI (1871658278) is active in the NPPES registry as of the last update on 2008-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.