DR. MARK RUSSELL


Address: 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303
Phone: 7602413547

DR. MARK RUSSELL (NPI# 1639137540) 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) 1639137540
Entity Type Individual
Full Name DR. MARK RUSSELL
Other Name SEYED-MEHRDAD ALERASSOUL
Credential M.D.
Practice Address 13024 Hesperia Rd Ste 103
Victorville
CA 92395-8303
Mailing Address 12223 Highland Ave # 106-536
Rancho Cucamonga
CA 91739-2574
Practice Telephone 7602413547
Practice Fax Number 7602413562
Mailing Telephone 7602413547
Mailing Fax Number 7602413562
Enumeration Date 2006-05-02
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 229134 NY Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
A144701 CA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
A144701 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 229134 NY Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 E Williams St, Barstow, CA 923112943 7602560328 7602565635

Other Providers MARK RUSSELL

NPI Name Taxonomy Address Enumeration
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1144752221 Mark Russell Social Worker 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 2017-03-29
1154767267 Mark Stephen Russell Jr. Counselor 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 2013-05-15
1437314366 Mark William Russell Community Health Worker 108 Schooner Landing Dr, Edenton, NC 27932-8833 2008-07-21
1306867049 Mark Duane Russell Specialist/Technologist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2006-07-21
1689671315 Mark Dale Russell Chiropractor 5309 44th St, Lubbock, TX 79414-1321 2005-07-07
1154827756 Mark Russell Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2018-04-03
1033654967 Mark Russell Pharmacist 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 2017-01-02
1477097392 Mark Russell Social Worker 302 S Spring St, Tupelo, MS 38804-4853 2016-12-12
1134463870 Mark Joseph Russell Occupational Therapist 275 East Main Street, Frankfort, KY 40621-0001 2012-11-19

Office Location

Street Address 13024 HESPERIA RD STE 103
City VICTORVILLE
State CA
Zip Code 92395-8303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992347298 Michelle Lee Hastings Internal Medicine 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 2019-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837966 Desert Ridge Transitional Care Center, Lp Skilled Nursing Facility 13300 11th Avenue, Victorville, CA 92395 2020-06-26
1376179093 Catherine Ward Speech-Language Pathologist 13275 Mauka Ct, Victorville, CA 92395 2020-03-13
1174019228 Laura Mercado Halterman Family Medicine 16519 Victor St Ste 307, Victorville, CA 92395 2018-07-02
1306337829 Stephanie Ann Kruger Behavior Technician Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 2018-05-21
1861903924 Debra L Andersen Clinic/Center 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 2017-10-17
1790202141 Joshua Powers Physician Assistant 12550 Hesperia Rd Ste 101, Victorville, CA 92395 2017-08-26
1043759491 Kemp Individual & Family Therapy, Inc. Marriage & Family Therapist 14075 Hesperia Road, Suite 101, Victorville, CA 92395 2017-02-17
1740725969 Abem Transportation Inc Non-emergency Medical Transport (VAN) 15000 7th St Ste F208, Victorville, CA 92395 2016-12-23
1447669379 Tracie Girard Nurse Practitioner 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 2014-08-05
1093153215 Mitesh Patel Surgery 13010 Hesperia Rd Ste 400, Victorville, CA 92395 2013-06-10
Find all providers in zip 92395

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407169485 Harikrishna J Makani Internal Medicine 12370 Hesperia Rd, Suite 6, Victorville, CA 92395-7719 2010-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104430412 Anitha Rajamanickam Md Apmc Internal Medicine 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 2020-09-03
1316574890 Woodland Hills Cardiology Group, PC Internal Medicine Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 2020-03-25
1841820677 Sarsam Cardiology A Professional Corporation Internal Medicine 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 2020-01-21
1982246575 Golden State Heart & Vascular Associates Internal Medicine 1850 El Camino Real Ste 200, Burlingame, CA 94010 2019-10-15
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1336708494 Peripheral Vascular Institute, Inc. A Podiatry Corp Internal Medicine 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 2019-06-11
1568020709 Bakersfield Vascular Care Inc Internal Medicine 3550 Q St Ste 205, Bakersfield, CA 93301-1645 2019-06-03
1669974689 Hossein Eftekhari Md Inc Internal Medicine 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 2018-03-06
1104324102 Adventist Health Physicians Network Internal Medicine 414 G St Ste 108, Marysville, CA 95901-5669 2018-01-25
1194223198 Adventist Health Physicians Network Internal Medicine 414 G St Ste 210, Marysville, CA 95901-5669 2018-01-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City VICTORVILLE
Zip Code 92395

Improve Information

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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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