GILBERTO C. RUSSO


Address: 71777 San Jacinto Dr, Ste 101g, Rancho Mirage, CA 92270-4457
Phone: 7609696559

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
A63421 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 71777 SAN JACINTO DR
STE 101G
City RANCHO MIRAGE
State CA
Zip Code 92270-4457

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City RANCHO MIRAGE
Zip Code 92270

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Dataset Information

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.

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