DR. R. DENIS RUSSELL (NPI# 1790783439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790783439 |
| Entity Type | Individual |
| Full Name | DR. R. DENIS RUSSELL |
| Credential | D.P.M. |
| Practice Address |
11100 Warner Ave Suite 306 Fountain Valley CA 92708-7506 |
| Practice Telephone | 7149790313 |
| Practice Fax Number | 7149790340 |
| Mailing Telephone | 7149790313 |
| Mailing Fax Number | 7149790340 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-02-15 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1393 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11100 WARNER AVE SUITE 306 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083181 | Luc Sinh Nguyen | Internal Medicine | 11100 Warner Ave, Ste 350, Fountain Valley, CA 92708-7513 | 2005-06-14 |
| 1639617558 | Tim T. Lai, Md, Inc. | Psychiatry & Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2017-02-11 |
| 1316495047 | Daniel Recalde Dpm, Inc | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2016-09-12 |
| 1811356470 | Platinum Medical Care A Medical Corporation | Pharmacy | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7506 | 2016-02-11 |
| 1053791095 | Platinum Medical Care | Internal Medicine | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7511 | 2015-06-04 |
| 1376922021 | Stewart Elvis Rendon, M.d., Inc. | Surgery | 11100 Warner Ave, Suite 258, Fountain Valley, CA 92708-7506 | 2015-05-28 |
| 1891118048 | Gregorio D. Abad-santos Inc | Pediatrics | 11100 Warner Ave, Suite 352, Fountain Valley, CA 92708-7506 | 2014-01-23 |
| 1093159063 | Select Healthcare System, A Medical Corporation | Health Maintenance Organization | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2013-04-22 |
| 1962755702 | Michael Wan, M.d., Inc | Clinic/Center | 11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7506 | 2012-10-17 |
| 1295094324 | Tim Tien Lai | Psychiatry & Neurology | 11100 Warner Ave, Ste 152, Fountain Valley, CA 92708-7510 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1811481914 | Dana Lin | Podiatrist | 11160 Warner Ave Ste 211, Fountain Valley, CA 92708-4048 | 2018-06-21 |
| 1265553457 | Rosemary Rupali Jadia | Podiatrist | 18332 Birch St, Fountain Valley, CA 92708-6604 | 2007-04-03 |
| 1780627141 | Steve Minh Eng | Podiatrist | 18111 Brookhurst St # 3400, #3400, Fountain Valley, CA 92708-6728 | 2006-06-14 |
| 1356867311 | Andrew P. Chu PC | Podiatrist | 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 | 2017-08-21 |
| 1316495047 | Daniel Recalde Dpm, Inc | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2016-09-12 |
| 1801236740 | Keith Ryan Aceron | Podiatrist | 17100 Euclid St, Medical Staff, Fountain Valley, CA 92708-4004 | 2013-06-25 |
| 1528394319 | Steve M. Eng, Dpm, Inc. | Podiatrist | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2009-10-29 |
| 1740462910 | Michael H. Simons D.p.m. A Professional Corporation | Podiatrist | 18111 Brookhurst Street, Suite 3400, Fountain Valley, CA 92708-6728 | 2007-11-29 |
| 1932295029 | Michael Howard Simons | Podiatrist | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2006-10-05 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on DR. R. DENIS RUSSELL.
| 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.