MS. DALLAS GALE RUSSO (NPI# 1578777629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578777629 |
| Entity Type | Individual |
| Full Name | MS. DALLAS GALE RUSSO |
| Other Name | MS. DALLAS GALE BATES |
| Credential | RN |
| Practice Address |
14277 Road 28 Madera CA 93638-5715 |
| Mailing Address |
14277 Road 28 P.o. Box 1288 Madera CA 93638-5715 |
| Practice Telephone | 5596733508 |
| Practice Fax Number | 5596612818 |
| Mailing Telephone | 5596733508 |
| Mailing Fax Number | 5596612818 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
461890 | CA | Nursing Service Providers |
| Street Address |
14277 ROAD 28 |
| City | MADERA |
| State | CA |
| Zip Code | 93638-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891863866 | Debbie C Dinoto | Marriage & Family Therapist | 14277 Road 28, Madera, CA 93638-5715 | 2006-11-30 |
| 1386940229 | Richard Andrew Jensen | Counselor | 14277 Road 28, Madera, CA 93638-5715 | 2011-02-09 |
| 1942459722 | Liliana Nichols Jimenez | Student in an Organized Health Care Education/Training Program | 14277 Road 28, Madera, CA 93638-5715 | 2008-09-16 |
| 1902076110 | Lucila Millan | Social Worker | 14277 Road 28, Madera, CA 93638-5715 | 2008-03-04 |
| 1851569156 | Aura Maria Partridge | Case Manager/Care Coordinator | 14277 Road 28, Madera, CA 93638 | 2008-02-20 |
| 1548438278 | Antoinette Marie Aguilar | Case Manager/Care Coordinator | 14277 Road 28, Madera, CA 93638-5715 | 2008-02-15 |
| 1154599025 | Nancy Coleman-james | Counselor | 14277 Road 28, Madera, CA 93638-5715 | 2008-02-13 |
| 1952588337 | Madera County Behavioral Health Services | Community/Behavioral Health | 14277 Road 28, Madera, CA 93638-5715 | 2008-01-28 |
| 1407044720 | Victoria Martinez | Case Manager/Care Coordinator | 14277 Road 28, Madera, CA 93638-5715 | 2007-10-11 |
| 1336335397 | Madera County Behavioral Health Services | Community/Behavioral Health | 14277 Road 28, Madera, CA 93638-5715 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380183 | Mike Davis | Registered Nurse | 2301 Camden Way, Madera, CA 93637-4210 | 2016-07-15 |
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|---|---|---|---|---|
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| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
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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.