RICHARD CHILDREY GROSS MD NPI 1164428876

NPI Information

NPI: 1164428876
Provider Name: RICHARD CHILDREY GROSS, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
1640 E ROSEVILLE PKWY
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-2277
Get Directions

Richard Childrey Gross, MD is a body imaging radiology in Roseville, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Richard Childrey Gross, MD NPI is 1164428876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1640 E ROSEVILLE PKWY
ROSEVILLE, CA
ZIP 95661-988
Phone: (916) 784-2277
Fax: (916) 932-1104

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	G24643	CALIFORNIA	Yes
2	2085N0700X	Radiology	Neuroradiology	G24643	CALIFORNIA	X
3	2085N0904X	Radiology	Nuclear Radiology	G24643	CALIFORNIA	X
4	2085R0202X	Radiology	Diagnostic Radiology	G24643	CALIFORNIA	X
5	2085R0203X	Radiology	Therapeutic Radiology	G24643	CALIFORNIA	X
6	2085R0204X	Radiology	Vascular & Interventional Radiology	G24643	CALIFORNIA	X
7	2085R0205X	Radiology	Radiological Physics	G24643	CALIFORNIA	X
8	2085U0001X	Radiology	Diagnostic Ultrasound	G24643	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A42327	MEDICARE UPIN
2	00G246430	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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