RYAN A RUSSELL (NPI# 1710175559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710175559 |
| Entity Type | Individual |
| Full Name | RYAN A RUSSELL |
| Credential | CP |
| Practice Address |
8540 Reseda Blvd Northridge CA 91324-4628 |
| Practice Telephone | 8187184643 |
| Mailing Telephone | 8187184643 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1154963114 | Ryan J Russell | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-10-11 |
| 1841751187 | Ryan Russell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2019-03-28 |
| 1740773019 | Ryan S Russell | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-06-12 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1669823647 | Ryan Russell | Pharmacist | 415 6th St, Lewiston, ID 83501-2431 | 2016-06-30 |
| 1265890669 | Ryan J Russell | Chiropractor | 406 E South Blvd, Crawfordsville, IN 47933-3762 | 2016-02-01 |
| 1063889848 | Ryan Nelson Russell | Chiropractor | 1580 Montgomery Hwy, Suite 14, Hoover, AL 35216-4586 | 2015-08-27 |
| 1689931602 | Ryan Cory Russell | Anesthesiology | 2401 S 31st St, Ms-20-d304, Temple, TX 76508-0001 | 2012-04-15 |
| 1245465467 | Ryan Michael Russell | Pharmacist | 12266 De Paul Dr, Suite 105, Bridgeton, MO 63044-2514 | 2009-05-18 |
| Street Address |
8540 RESEDA BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649246794 | Alan Darush | Internal Medicine | 8540 Reseda Blvd, Suite 103, Northridge, CA 91324-4628 | 2006-02-28 |
| 1467612820 | Julio N Vasquez Md Inc. | Family Medicine | 8540 Reseda Blvd, Suite 240, Northridge, CA 91324-6142 | 2008-06-10 |
| 1063690386 | Garemani Shahmohammadi Dds Professional Dental Corp | Dentist | 8540 Reseda Blvd, #102, Northridge, CA 91324 | 2008-02-08 |
| 1205024049 | Matthew T Cabrera | Orthotic Fitter | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-05 |
| 1235327255 | Sanjay K Gupta | Orthotist | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-04 |
| 1942356829 | Steve Duong | Dentist | 8540 Reseda Blvd, #101, Northridge, CA 91324-4628 | 2007-01-25 |
| 1639262561 | Julio Nicasio Vasquez | Family Medicine | 8540 Reseda Blvd, Suite 240, Northridge, CA 91324-6142 | 2006-10-02 |
| 1659309300 | H Reza Shahmohammadi A Dental Corporation | Dentist | 8540 Reseda Blvd, # 101, Northridge, CA 91324-6144 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
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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.