Russell B Keating (NPI# 1396727863, PAC ID# 0547264905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1396727863 |
| PAC ID by PECOS | 0547264905 |
| Professional Enrollment ID | I20060828000284 |
| Full Name | Russell B Keating |
| Organization Legal Name | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Address |
13100 Studebaker Rd Norwalk CA 90650-2531 |
| Phone Number | 5628683751 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587632575 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050589 | PLACENTIA LINDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 5628683751 | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| 1301 N Rose Dr, Placentia, CA 92870-3802 | 7149932000 | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Organization Legal Name | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tan Ba Nguyen | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| John C Kirby | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Michael Chan | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Bruce Omiya | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Sam Zeim | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Kevin Thien Toan Bui | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Mohammad Mahdi Kassir | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Senthil Sivakumar Gunasekaran | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Thomas H Lee | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Street Address |
13100 STUDEBAKER RD |
| City | NORWALK |
| State | CA |
| Zip | 90650-2531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Kirby | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Brian Liyanto | Anesthesiology | Alliance Anesthesia Associates Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Omid Adibnazari | Emergency Medicine | Coast Plaza Emergency Physicians Group Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Julian C Chua | Anesthesiology | Alliance Anesthesia Associates Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Bruce Omiya | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| David S Kramer | Cardiovascular Disease (cardiology) | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | |
| Long H Nguyen | Emergency Medicine | Coast Plaza Emergency Physicians Group Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Amir Javad Momtahen | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Michael D Stone | Emergency Medicine | Coast Plaza Emergency Physicians Group Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Eli Luong | Anesthesiology | Alliance Anesthesia Associates Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rung Tan | Oral Surgery | Department of State Hospitals | 11401 Gloomfield Ave, Norwalk, CA 90650 |
| Tommy G Milladge | Clinical Psychologist | Department of State Hospitals | 11401 Gloomfield Ave, Norwalk, CA 90650 |
| Maria Lourdes Agbing-mamangun | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Priyanka M Deshmukh | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Robert D Ho-hoang | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| James C Lu | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Michael S Hwang | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Paul Ananias | Psychiatry | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Chi M Vu | Internal Medicine | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Yvonne C Mcdowell | Psychiatry | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Find all physicians in zip 90650 | |||
| City | NORWALK |
| Zip Code | 90650 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NORWALK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Russell B Keating.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.