RYAN RUSSO (NPI# 1295336956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295336956 |
| Entity Type | Individual |
| Full Name | RYAN RUSSO |
| Practice Address |
2376 Soto St San Diego CA 92107-1410 |
| Practice Telephone | 4148036018 |
| Mailing Telephone | 4148036018 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 4605 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073843454 | Ryan Russo | Chiropractor | 141 W Harrison Ave Ste D, New Orleans, LA 70124-1301 | 2010-01-06 |
| Street Address |
2376 SOTO ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92107-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111322 | Amanda Malicki | Occupational Therapist | 1567 Ocean Front St, San Diego, CA 92107 | 2016-01-07 |
| 1841689031 | Shari Houser | Marriage & Family Therapist | 1969 Sunset Cliffs Blvd, San Diego, CA 92107 | 2015-01-12 |
| 1740627868 | Marie Catherine Dumas | Psychologist | 3863 Coronado Ave, San Diego, CA 92107 | 2013-05-30 |
| 1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
| 1396023982 | Brooke Michelle Nielsen | Marriage & Family Therapist | 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 | 2011-07-29 |
| 1871890889 | Elizabeth Cantori | Occupational Therapist | 1865 1/2 Ebers St, San Diego, CA 92107 | 2011-02-28 |
| 1861716482 | Dina Chalom | Physical Therapist | 4833 Pescadero Ave Apt 3, San Diego, CA 92107 | 2010-03-25 |
| 1265762983 | David A. Schein | Psychiatry & Neurology | 4517 Newport Avenue, San Diego, CA 92107 | 2009-12-31 |
| 1184836215 | County of San Diego, Aging & Independance Services | Community/Behavioral Health | 4858 Del Mar Ave, San Diego, CA 92107 | 2007-05-03 |
| 1063535813 | James Wilson Jones | Dentist | 1499 Sunset Cliffs Blvd, San Diego, CA 92107 | 2007-04-09 |
| Find all providers in zip 92107 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790088219 | Siti Medical Clinic | Clinical Nurse Specialist | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-07 |
| 1982917860 | Carol Anne Johnson | Clinical Nurse Specialist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243228 | Jennifer Mccoy | Clinical Nurse Specialist | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-10-21 |
| 1992311757 | Jose Chavez | Clinical Nurse Specialist | 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 | 2020-09-17 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
| 1194154419 | Mariana L Norby | Clinical Nurse Specialist | 9323 N Saybrook Dr, 227, Fresno, CA 93720-0829 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
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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.