MEDICARE: SARAH ELIZABETH GROSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	309747	CA

General Provider Information

NPI Number	:	1154273845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH GROSS

Provider Business Mailing Address
First Line	:	1729 SIERRA VERDE RD
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91913-1770
Country	:	US
Telephone Number	:	619-587-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 E 8TH ST
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2223
Country	:	US
Telephone Number	:	619-500-6877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ SARAH ELIZABETH GROSS ” Practice Location

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