GILBERTO C. RUSSO (NPI# 1346201811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346201811 |
Entity Type | Individual |
Full Name | GILBERTO C. RUSSO |
Credential | M.D. |
Practice Address |
71777 San Jacinto Dr Ste 101g Rancho Mirage CA 92270-4457 |
Mailing Address |
71777 San Jacinto Dr Suite 101g Rancho Mirage CA 92270-4457 |
Practice Telephone | 7609696559 |
Mailing Telephone | 7609696559 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2011-12-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A63421 | CA | Allopathic & Osteopathic Physicians |
Street Address |
71777 SAN JACINTO DR STE 101G |
City | RANCHO MIRAGE |
State | CA |
Zip Code | 92270-4457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760463863 | Desert Medical Group-mirage Outpatient Center | Surgery | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2005-11-07 |
1538701628 | Elizabeth Montane | Registered Nurse | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-3543 | 2019-10-10 |
1609439892 | David Bornstein | Nurse Practitioner | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2019-04-15 |
1235504994 | Leslie Miller Price | Nurse Practitioner | 71777 San Jacinto Dr, Suite 202, Rancho Mirage, CA 92270-4457 | 2015-12-07 |
1861866840 | William Jason Stotts | Marriage & Family Therapist | 71777 San Jacinto Dr, Suite 204, Rancho Mirage, CA 92270-4457 | 2015-11-13 |
1801265541 | Kaitlin Alyce Madary | Registered Nurse | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2015-09-23 |
1710389895 | Gai Mei Wong | Physician Assistant | 71777 San Jacinto Dr, Suite 101g, Rancho Mirage, CA 92270-4457 | 2014-09-21 |
1760804744 | Winston Wilde | Marriage & Family Therapist | 71777 San Jacinto Dr, Suite 204, Rancho Mirage, CA 92270-4457 | 2014-01-10 |
1497021646 | Allison Harris | Nurse Practitioner | 71777 San Jacinto Dr, Suite 202, Rancho Mirage, CA 92270-4457 | 2012-03-31 |
1306813936 | Kay L. Vogt | Psychologist | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2006-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
Find all providers in zip 92270 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073705778 | Son Ha Yu | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2007-08-16 |
1760463863 | Desert Medical Group-mirage Outpatient Center | Surgery | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2005-11-07 |
1801250410 | Neil Reddy | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2016-04-09 |
1780040840 | John J. Lee, A Professional Corporation | Surgery | 71780 San Jacinto Dr, Bldg. I, Rancho Mirage, CA 92270-5516 | 2016-01-05 |
1821415142 | Desert Vein & Vascular Institute Professional Corporation | Surgery | 71780 San Jacinto Dr, Bldg. I, Rancho Mirage, CA 92270-5516 | 2014-03-25 |
1942622683 | Pushpinder Sivia M.d., A Professional Corporation | Surgery | 39000 Bob Hope Dr, Suite K108, Rancho Mirage, CA 92270-3221 | 2014-01-15 |
1033475751 | Alan E Williamson Md Inc | Surgery | 39300 Bob Hope Dr, Bannan Building, Suite 1101, Rancho Mirage, CA 92270-3203 | 2012-04-06 |
1902194335 | Son Ha Yu, M.d., Inc | Surgery | 39000 Bob Hope Dr, Suite K108, Rancho Mirage, CA 92270-3221 | 2011-07-19 |
1124346697 | Trevor John Derderian | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2010-05-09 |
1619132719 | Pushpinder Singh Sivia | Surgery | 71780 San Jacinto Dr, Building I, Rancho Mirage, CA 92270-5516 | 2008-07-28 |
Find all providers in RANCHO MIRAGE |
City | RANCHO MIRAGE |
Zip Code | 92270 |
Please comment or provide details below to improve the information on GILBERTO C. RUSSO.
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.