DR. JOHN JOSEPH RUSSO (NPI# 1023131513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023131513 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH RUSSO |
| Credential | DDS |
| Practice Address |
1101 El Camino Real San Bruno CA 94066-2405 |
| Practice Telephone | 6505832273 |
| Mailing Telephone | 6505832273 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25980 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1558708156 | John P Russo | Internal Medicine | 5665 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-1701 | 2013-05-23 |
| 1174646426 | John Walter Russo | Social Worker | 70 W 11th St, Suite 1e, New York City, NY 10011 | 2007-04-09 |
| 1346376415 | John Anthony Russo | Internal Medicine | 1500 Pleasant Valley Way Ste 201, West Orange, NJ 07052-2956 | 2007-02-25 |
| 1538276969 | John Russo | Dentist | 1704 Bay Rd, Sarasota, FL 34239-6810 | 2006-08-23 |
| 1114983442 | John J Russo | Optometrist | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 | 2006-04-25 |
| 1679538367 | John E Russo | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2006-04-18 |
| 1467858407 | John Russo | Physical Therapist | 4 E South St, Geneseo, NY 14454-1445 | 2014-11-18 |
| 1386926384 | John Christopher Russo | Pharmacist | 5285 Us Highway 1, Vero Beach, FL 32967-7601 | 2011-09-15 |
| 1871729897 | John N Russo | Dentist | 300 Foulk Rd, Wilmington, DE 19803-3886 | 2009-06-04 |
| Street Address |
1101 EL CAMINO REAL |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801105259 | Nancy Zuccani | Marriage & Family Therapist | 1101 El Camino Real, Suite 2, San Bruno, CA 94066 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558911313 | Kim Xuan Tran D.d.s., Inc. | Dentist | 1001 Sneath Ln Ste 211, San Bruno, CA 94066-2349 | 2019-09-13 |
| 1184090235 | Rowena Romero | Dentist | 528 Green Ave, San Bruno, CA 94066-4313 | 2015-08-12 |
| 1245527472 | Nicole L Pham | Dentist | 3303 Aegean Way, San Bruno, CA 94066-4570 | 2011-07-08 |
| 1487866851 | Maria Corazon Roque David-arrobio | Dentist | 105 El Camino Real, San Bruno, CA 94066-5426 | 2007-05-05 |
| 1104044064 | Ankur B Parikh | Dentist | 1490 El Camino Real, San Bruno, CA 94066-5301 | 2007-04-23 |
| 1346381472 | Taisen Lin | Dentist | 504 Linden Ave, San Bruno, CA 94066-4243 | 2007-02-09 |
| 1316028178 | Maria Luisa F Diaz | Dentist | 851 Cherry Ave Ste 36, San Bruno, CA 94066-2954 | 2006-10-18 |
| 1588750046 | Gary R. Parsons | Dentist | 2102 Crestmoor Dr, San Bruno, CA 94066-2802 | 2006-10-04 |
| 1053427138 | Mervyn K Otsuka | Dentist | 931 San Bruno Ave W, Suite 5, San Bruno, CA 94066-3440 | 2006-08-22 |
| 1144335894 | Bradley L Parker | Dentist | 750 Kains Ave, San Bruno, CA 94066-3432 | 2006-08-21 |
| Find all providers in SAN BRUNO | ||||
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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.