DR. MATTHEW RICHARD RUSSELL (NPI# 1225473077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225473077 |
Entity Type | Individual |
Full Name | DR. MATTHEW RICHARD RUSSELL |
Credential | M.D. |
Practice Address |
200 Ucla Medical Plz Ste 265 Los Angeles CA 90095-7419 |
Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
Practice Telephone | 3108250867 |
Practice Fax Number | 3107945066 |
Enumeration Date | 2013-05-07 |
Last Update Date | 2019-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A133403 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
200 Ucla Medical Plz Ste 330, Los Angeles, CA 900957419 | 3102677667 | 3108259524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386244648 | Matthew B Russell | Marriage & Family Therapist | 4125 Temescal St Ste G, Fair Oaks, CA 95628-7558 | 2020-10-27 |
1821468604 | Matthew Russell | Psychologist | 520 S Grand Ave Ste 671, Los Angeles, CA 90071-2655 | 2015-10-06 |
1821260084 | Matthew Scott Russell | Otolaryngology | 2233 Post St. 3rd Floor; Box 1225, University of California, San Francisco; Department Of, San Francisco, CA 94115 | 2008-03-28 |
1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
1740881143 | Matthew Russell | Counselor | 151 Industrial Dr, Birmingham, AL 35211-4445 | 2020-11-03 |
1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
1194352765 | Matthew David Russell | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2020-03-24 |
1851931059 | Matthew Thomas Russell | Pharmacist | 3410 Northpark Dr, Kingwood, TX 77345-6108 | 2020-01-15 |
1487203485 | Matthew E.b. Russell | Psychologist | 1504 Ben Taub Loop, Houton, TX 77030 | 2019-09-11 |
1477045326 | Matthew David Russell | Behavioral Analyst | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-05 |
Street Address |
200 UCLA MEDICAL PLZ STE 265 |
City | LOS ANGELES |
State | CA |
Zip Code | 90095-7419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255445508 | Suzanne Valerie Mcdiarmid | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3075 | 2006-08-17 |
1831585827 | Amy Claire Gaultney | Student in an Organized Health Care Education/Training Program | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-0001 | 2015-04-07 |
1871987339 | Christine Katie Thang | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2015-03-23 |
1528487055 | Hanna Siddiqui | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-8344 | 2014-04-11 |
1578994174 | Priya Shastry | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-1029 | 2013-12-06 |
1437595154 | Eric Stephen Hamberger | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2013-05-21 |
1710321468 | Abraham Gallegos | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-6062 | 2013-04-24 |
1730522194 | Theodore Scott Nowicki | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2013-04-16 |
1659614980 | Bhavita Patel | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3412 | 2013-04-04 |
1548507395 | Yolanda Yu | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3075 | 2013-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
Find all providers in zip 90095 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033751540 | Guillermo A. Young, Md Inc | Pediatrics | 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 | 2019-10-16 |
1346511235 | Apichai Khongphatthanayothin | Pediatrics | 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 | 2012-01-24 |
1831343086 | Shyamasundar Balasubramanya | Pediatrics | 10833 Le Conte Ave Ste 62-246, Los Angeles, CA 90095-1676 | 2008-11-13 |
1235225921 | Jondavid Menteer | Pediatrics | 6450 W Sunset Blvd, Ms# 34, Los Angeles, CA 90028-7315 | 2006-10-04 |
1649207994 | California Fetal and Pediatric Cardiology, Inc | Pediatrics | 11625 Montana Ave Apt 214, Los Angeles, CA 90049-4683 | 2006-06-26 |
1366419426 | Eshagh Isaac Eshaghpour | Pediatrics | 8631 W. Third Street, Suite 444e, Los Angeles, CA 90048 | 2006-03-07 |
1366416497 | Ruchira Garg | Pediatrics | 127 S. San Vicente Boulevard, A3600, Los Angeles, CA 90048 | 2006-02-15 |
1558348706 | Mahnaz Tabibian | Pediatrics | 10833 Lecont Ave, Department of Pediatrics, Los Angeles, CA 90095-1752 | 2005-12-29 |
1760952394 | Paul Fraser Kantor | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2018-11-27 |
1730454810 | Mark Harris Shwayder | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2012-03-21 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90095 |
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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.