CATHERINE ANN RUSSELL


Address: 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443
Phone: 7144364700

CATHERINE ANN RUSSELL (NPI# 1861699555) 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) 1861699555
Entity Type Individual
Full Name CATHERINE ANN RUSSELL
Credential PHARMD
Practice Address 1665 Scenic Ave Ste 100
Costa Mesa
CA 92626-1443
Mailing Address 1665 Scenic Ave
Ste 100
Costa Mesa
CA 92626-1445
Practice Telephone 7144364700
Mailing Telephone 7144364444
Enumeration Date 2007-06-27
Last Update Date 2008-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835N1003X Pharmacist
Specialization: Nutrition Support
37554 CA Pharmacy Service Providers

Other Providers CATHERINE RUSSELL

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1922466168 Catherine Russell Dietitian, Registered 755 W Buena Ave, Apt 307, Chicago, IL 60613-2272 2016-02-02
1669604385 Catherine Elizabeth Russell Physical Therapist 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 2009-08-13
1952911976 Catherine Russell Nurse Practitioner 126 Enterprise Path, Hiram, GA 30141-2656 2020-08-04
1205386984 Catherine Russell Nurse Anesthetist, Certified Registered 2 Reads Way Ste 201, New Castle, DE 19720-1630 2016-10-06
1699140079 Catherine Mary Russell Physical Therapy Assistant 1067 Peachtree St, Louisville, GA 30434-1558 2015-12-10
1437544962 Catherine Phyllis Russell Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2015-04-01
1235550575 Catherine Lenore Russell Social Worker 1409 Willow St, Ste 305, Minneapolis, MN 55403-3289 2014-01-03
1326292772 Catherine N Russell Physician Assistant 1421 E Oakland Park Blvd, Oakland Park, FL 33334-4434 2008-11-12
1376743757 Catherine Ann Russell Counselor 60 E Amherst St, Buffalo, NY 14214-1804 2007-07-23
1134234347 Catherine Russell Clinical Nurse Specialist 215 Perry Hill Rd, Montgomery, AL 36109-3725 2006-08-20

Office Location

Street Address 1665 SCENIC AVE STE 100
City COSTA MESA
State CA
Zip Code 92626-1443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558446781 Nancy T Maillefer Clinical Pharmacology 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443 2006-10-26
1306248976 Sunok Kim Nurse Practitioner 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443 2014-09-25
1821239666 Barbara Lynn Holecek Nurse Practitioner 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443 2009-03-06
1376709568 Warren Marshall Strauss Internal Medicine 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443 2008-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
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Taxonomy Information

Taxonomy Code 1835N1003X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Nutrition Support

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225495187 Robert Arthur Thompson Pharmacist 28985 Mountain Meadow Rd, Escondido, CA 92026-6202 2016-01-24
1083085831 Wei Li Vedova Pharmacist 1007 39th St, Sacramento, CA 95816-5502 2015-10-19
1023345865 Judy Lynn Burgio Pharmacist 305 Morning Sun Ave, Mill Valley, CA 94941-3526 2009-11-16
1952561292 Tecia Gail Ryan Pharmacist 2515 Milvia St, Berkeley, CA 94704-2605 2008-06-10
1245387562 Benson Toy Pharmacist 750 Las Gallinas Ave Ste 104, San Rafael, CA 94903-3431 2007-01-05
1710067764 Emily C Foo Pharmacist 4724 Cielo Vista Way, San Jose, CA 95129-1446 2006-10-16
1881626752 Joey Kit Lee Pharmacist 3414 W. Ball Road, Suite L, Anaheim, CA 92804-3726 2006-07-07
1558303099 Helene Grosman Pharmacist 20300 Ventura Blvd, Suite 245, Woodland Hills, CA 91364-2448 2006-06-11
1740287754 Cassandra Choi Pharmacist 981 S Meridian Ave, Alhambra, CA 91803-1250 2005-07-05
1376547281 Kun Noun Yoeun Pharmacist 916 E Pacific Coast Hwy, Long Beach, CA 90806-5626 2005-06-08
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Competitor

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City COSTA MESA
Zip Code 92626

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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