STEVEN C. RUSSAK (NPI# 1316095128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316095128 |
| Entity Type | Individual |
| Full Name | STEVEN C. RUSSAK |
| Credential | MD |
| Practice Address |
5601 De Soto Ave Woodland Hills CA 91367-6701 |
| Practice Telephone | 8187192000 |
| Mailing Telephone | 8187192000 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
G64389 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5601 DE SOTO AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641900 | Lester D. R. Thompson | Pathology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2005-06-29 |
| 1346840600 | Deborah Pourvali | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-10-27 |
| 1356954499 | Cipora Kricun | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-28 |
| 1467065623 | Christine Yi | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-27 |
| 1083225106 | Dania Bitar | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-12 |
| 1336777838 | Sean Xiang Chen | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-30 |
| 1407484470 | Jasmine Jafari | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-27 |
| 1639706849 | Sonia Rutten | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1831726892 | Brian Dickey | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1275160491 | Sunha Lee | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982753240 | Muthu Chandra | Family Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-01-09 |
| 1952460578 | Sheryl L. Yamamoto | Family Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2006-12-08 |
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|---|---|---|---|---|
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| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
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| City | WOODLAND HILLS |
| Zip Code | 91367 |
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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.