RYAN J RUSSELL (NPI# 1154963114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154963114 |
| Entity Type | Individual |
| Full Name | RYAN J RUSSELL |
| Practice Address |
1509 Wilson Ter Glendale CA 91206-4007 |
| Mailing Address |
224 E Dixon St Azusa CA 91702-4907 |
| Practice Telephone | 8184098000 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
783097 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1841751187 | Ryan Russell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2019-03-28 |
| 1740773019 | Ryan S Russell | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-06-12 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1669823647 | Ryan Russell | Pharmacist | 415 6th St, Lewiston, ID 83501-2431 | 2016-06-30 |
| 1265890669 | Ryan J Russell | Chiropractor | 406 E South Blvd, Crawfordsville, IN 47933-3762 | 2016-02-01 |
| 1063889848 | Ryan Nelson Russell | Chiropractor | 1580 Montgomery Hwy, Suite 14, Hoover, AL 35216-4586 | 2015-08-27 |
| 1689931602 | Ryan Cory Russell | Anesthesiology | 2401 S 31st St, Ms-20-d304, Temple, TX 76508-0001 | 2012-04-15 |
| 1245465467 | Ryan Michael Russell | Pharmacist | 12266 De Paul Dr, Suite 105, Bridgeton, MO 63044-2514 | 2009-05-18 |
| 1710175559 | Ryan A Russell | Prosthetist | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-05 |
| Street Address |
1509 WILSON TER |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308090 | Larry Ereshefsky | Pharmacist | 1509 Wilson Ter, Wing 55 Main Floor, Glendale, CA 91206-4007 | 2005-07-05 |
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1073937900 | Maral H. Sabounjian-sarkissian | Registered Nurse | 1329 Greenbriar Rd, Glendale, CA 91207-1253 | 2014-02-12 |
| 1255646113 | Alissa N Yancey | Registered Nurse | 1074 S Dahlia St Apt G533, Glendale, CO 80246-4254 | 2010-08-16 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1609406925 | Katherine Elizabeth Keklak | Registered Nurse | 1509 Wilson Terrace, Glendale, CA 91206 | 2020-01-26 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on RYAN J RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.