FREDRICK MATTHEW RUSSO (NPI# 1457370074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457370074 |
| Entity Type | Individual |
| Full Name | FREDRICK MATTHEW RUSSO |
| Credential | MD. |
| Practice Address |
19950 Rinaldi St Porter Ranch CA 91326-4141 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 8184032420 |
| Practice Fax Number | 8183606036 |
| Mailing Telephone | 8188375691 |
| Mailing Fax Number | 8187924793 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C41689 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C416890 | 05 |
| Street Address |
19950 RINALDI ST |
| City | PORTER RANCH |
| State | CA |
| Zip Code | 91326-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979048 | Mehran Nowfar-rad | Dermatology | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2006-02-02 |
| 1407334733 | Roshani P Waas | Nurse Practitioner | 19950 Rinaldi St, Suite 200, Porter Ranch, CA 91326-4141 | 2018-07-30 |
| 1801279948 | Shahrzad Akbary | Dermatology | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2015-07-07 |
| 1962755298 | Michelle Lin Emi | Internal Medicine | 19950 Rinaldi St, Suite 300, Porter Ranch, CA 91326-4141 | 2012-10-24 |
| 1588923064 | Anita Tipirneni | Psychiatry & Neurology | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2012-05-03 |
| 1790043065 | Eun Jin Kim | Internal Medicine | 19950 Rinaldi St, Suite 300, Porter Ranch, CA 91326-4141 | 2012-04-24 |
| 1235411844 | Ali Goharbin | Family Medicine | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2011-09-09 |
| 1790078228 | Nona Ahankoob | Internal Medicine | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2011-05-17 |
| 1205132628 | Mya E. Levy | Urology | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2011-02-02 |
| 1841518990 | Allison Erin Lowe Guimera | Pediatrics | 19950 Rinaldi St, Suite 300, Porter Ranch, CA 91326-4141 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1154561298 | Salima Thobani | Internal Medicine | 11362 Santini Ln, Porter Ranch, CA 91326-4424 | 2009-03-03 |
| 1972658540 | Juan M Alcantar | Internal Medicine | 19950 Rinaldi St Ste 301, Porter Ranch, CA 91326-4141 | 2007-01-24 |
| 1023065620 | Renata Selak Stankovic | Internal Medicine | 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 | 2006-05-28 |
| 1689036378 | Jyotsna Sharma | Internal Medicine | 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 | 2016-03-22 |
| 1164832069 | Vindeep Bhandari | Internal Medicine | 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 | 2014-04-30 |
| 1962755298 | Michelle Lin Emi | Internal Medicine | 19950 Rinaldi St, Suite 300, Porter Ranch, CA 91326-4141 | 2012-10-24 |
| 1790043065 | Eun Jin Kim | Internal Medicine | 19950 Rinaldi St, Suite 300, Porter Ranch, CA 91326-4141 | 2012-04-24 |
| 1447538079 | Raghu Konanur Venkataram | Internal Medicine | 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 | 2011-08-01 |
| 1790078228 | Nona Ahankoob | Internal Medicine | 19950 Rinaldi St, Porter Ranch, CA 91326-4141 | 2011-05-17 |
| Find all providers in PORTER RANCH | ||||
| City | PORTER RANCH |
| Zip Code | 91326 |
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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.