DR. JOHN PATRICK RUSSELL (NPI# 1902965619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902965619 |
| Entity Type | Individual |
| Full Name | DR. JOHN PATRICK RUSSELL |
| Credential | OD |
| Practice Address |
9961 Sierra Ave Fontana CA 92335-6720 |
| Practice Telephone | 9094273910 |
| Mailing Telephone | 9094273910 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT9689TPG | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231663 | John Russell IIi | Dentist | 206 N Brookmoore Dr, Columbus, MS 39705-2020 | 2009-04-09 |
| 1417106196 | John Edwin Russell | Physical Medicine & Rehabilitation | 6455 Toucan Trl, Spring Hill, FL 34607-2642 | 2008-09-17 |
| 1831221159 | John Clark Russell | Dentist | 2010 Court St, Beatrice, NE 68310-3209 | 2007-03-12 |
| 1811023963 | John Thomas Russell | Dentist | 1116 West St, Suite B, Annapolis, MD 21401-3608 | 2007-02-25 |
| 1003957515 | John Wesley Russell | Dentist | 3253 Mccracken St, Muskegon, MI 49441 | 2007-02-08 |
| 1902958077 | John Douglas Russell | Dentist | 4178 Ashby Court, Shasta Lake City, CA 96019 | 2007-01-17 |
| 1619066156 | John Grover Russell | Specialist | 8188 W Bartlett Rd, Casa Grande, AZ 85222-7336 | 2006-10-12 |
| 1003918137 | John C Russell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2731 Oak Bluff, San Antonio, TX 78230 | 2006-09-01 |
| 1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
| 1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
| Street Address |
9961 SIERRA AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
| 1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
| 1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
| 1568081842 | Jorge Kareem Sierra | Radiologic Technologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-04-16 |
| 1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891247581 | Pheobe Nguyen | Optometrist | 17264 Foothill Blvd Ste E, Fontana, CA 92335-9051 | 2016-10-27 |
| 1346670676 | Hamsa Maria Azar | Optometrist | 9985 Sierra Ave # Blgd4, Fontana, CA 92335 | 2013-11-22 |
| 1932482551 | Vision Express Optometry | Optometrist | 16803 Valley Blvd, Unit A, Fontana, CA 92335-9242 | 2011-09-20 |
| 1194033183 | Jennifer Ho Nguyen | Optometrist | 16803 Valley Blvd Unit A, Fontana, CA 92335-9242 | 2010-09-23 |
| 1548440720 | Firstsight Vision Services, Inc. | Optometrist | 17151 Foothill Blvd, Fontana, CA 92335-9046 | 2007-11-06 |
| 1497960181 | Inland Optometric Associates | Optometrist | 15070 Summit Ave, 400, Fontana, CA 92336-5387 | 2007-05-14 |
| 1285858936 | Lawrence Edwin Young | Optometrist | 10004 Sierra Ave, Fontana, CA 92335-6723 | 2007-04-12 |
| 1851429922 | Jason Timbol Flores | Optometrist | 8381 Juniper Ave Ste 100, Fontana, CA 92335-3431 | 2007-03-01 |
| 1336274844 | J & L Abo, Apc | Optometrist | 15290 Summit Ave., Suite C, Fontana, CA 92336 | 2007-02-23 |
| 1447303896 | Khanhtrang Le | Optometrist | 16505 Sierra Lakes Parkway, Fontana, CA 92336 | 2007-01-19 |
| Find all providers in FONTANA | ||||
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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.