MRS. CHARLOTTE MARIE RUSSELL


Address: 2501 Harbor Blvd, Costa Mesa, CA 92626-6143
Phone: 7149575000

MRS. CHARLOTTE MARIE RUSSELL (NPI# 1780636555) 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) 1780636555
Entity Type Individual
Full Name MRS. CHARLOTTE MARIE RUSSELL
Credential RNP
Practice Address 2501 Harbor Blvd
Costa Mesa
CA 92626-6143
Mailing Address 1600 9th Street
Room 205 Mailstop 2 3
Sacramento
CA 95814-6414
Practice Telephone 7149575000
Mailing Telephone 9166542431
Mailing Fax Number 9166543186
Enumeration Date 2006-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
335200 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PIN ZZZ177992 01

Other Providers CHARLOTTE RUSSELL

NPI Name Taxonomy Address Enumeration
1487875159 Charlotte Elizabeth Russell Midwife 404 University Ave, Marshall, TX 75670-5262 2007-05-01
1437438868 Charlotte D Russell Rehabilitation Practitioner 9175 Las Vegas Blvd S, Suite 110, Las Vegas, NV 89123-3359 2011-08-16

Office Location

Street Address 2501 HARBOR BLVD
City COSTA MESA
State CA
Zip Code 92626-6143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225089592 State of California - Department of Developmental Services Long Term Care Hospital 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2006-05-12
1639659774 Afsar Iranmanesh Pharmacist 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2018-08-17
1093217531 Wendy Pang Pharmacist 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2018-02-28
1316330459 Raymond Vagas Psychologist 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2015-03-13
1083995930 Cory Rizzuto Counselor 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2011-09-06
1801123021 Ashley Brooke Gardner Social Worker 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2009-11-09
1861655045 Ying-ling Chao Social Worker 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2008-07-08
1316953805 Michael Kao Family Medicine 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2006-08-01
1295759298 Sienna Sablan Go Family Medicine 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 2006-07-26
1760404040 Thanhtuyen Do Physical Medicine & Rehabilitation 2501 Harbor Blvd, Department of Oehs Director, Dr. Do, Costa Mesa, CA 92626-6143 2006-07-24
Find all providers in the same location

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 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811546872 Brett Ashley Hartsfield Nurse Practitioner 485 E 17th St Ste 500, Costa Mesa, CA 92627-4705 2019-09-11
1558894741 Lai Man Wong Nurse Practitioner 150 Paularino Ave Bld D Suite 182, Costa Mesa, CA 92626 2017-04-05
1720520182 Andrea Beyaoju Nurse Practitioner 771 Allegheny Ave, Costa Mesa, CA 92626-3002 2016-11-15
1518417633 Arnold Franco Nurse Practitioner 3360 Via Trentino, Costa Mesa, CA 92626-1691 2016-10-12
1609324524 Angela Ciano Nurse Practitioner 2306 Elden Ave, Apt C, Costa Mesa, CA 92627-6504 2016-09-20
1972960078 Sandra Lynn Gordon-bitar Nurse Practitioner 2975 Redhill Avenue, Suite 175, Costa Mesa, CA 92626 2016-01-20
1194005975 Laura Conahan Nurse Practitioner 2200 Harbor Blvd Suite B210, Costa Mesa, CA 92627 2011-08-24
1245519172 Patricia Thalken Lash Nurse Practitioner 1190 Baker Street, 100, Costa Mesa, CA 92659 2011-08-09
1831428028 Claudene Koros Stark Nurse Practitioner 1150 Baker Street, Minute Clinic, Costa Mesa, CA 92626 2009-12-17
1629101589 Nicole Herriott Nurse Practitioner 2569 Orange Ave Apt J, Costa Mesa, CA 92627-5119 2007-03-13
Find all providers in COSTA MESA

Competitor

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City COSTA MESA
Zip Code 92626

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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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