DR. GABRIEL RUSSO (NPI# 1972739472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972739472 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL RUSSO |
| Other Name | DR. GLENN RUSSO |
| Credential | D.C. |
| Practice Address |
655 Castro St Suite 3 Mountain View CA 94041-2000 |
| Practice Telephone | 6503631156 |
| Practice Fax Number | 6503631271 |
| Mailing Telephone | 6503631156 |
| Mailing Fax Number | 6503631271 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC19969 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184747347 | Gabriel A Russo | Dentist | 4258 Belden Village Mall Spc Fc-17, Canton, OH 44718-2504 | 2007-04-10 |
| Street Address |
655 CASTRO ST SUITE 3 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94041-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205297165 | Laura Bio | Pharmacist | 276 Okeefe Way, Mountain View, CA 94041 | 2016-03-18 |
| 1023496759 | Huibo Carol Chen | Acupuncturist | 341 D Castro Street, Mountain View, CA 94041 | 2015-05-14 |
| 1922360254 | Barbara Troupin | Family Medicine | 351 E. Evelyn Ave, Mountain View, CA 94041 | 2012-06-12 |
| 1174890727 | Elizabeth Kallinsky | Contractor | 751 Fairmont Ave., Mountain View, CA 94041 | 2011-11-28 |
| 1518252451 | Maria Esther Perdomo-torres | Social Worker | 990 Villa St, Better Help, Mountain View, CA 94041 | 2011-06-17 |
| 1164723086 | Veronica P Foster | Marriage & Family Therapist | 711 Church Street, Mountain View, CA 94041 | 2010-11-09 |
| 1134345085 | Richard S Dairiki | Dentist | 682 Villa Street, Suite G, Mountain View, CA 94041 | 2007-04-18 |
| 1851414007 | Erin Marie Rosenblum | Counselor | 711 Chruch St, Mountain View, CA 94041 | 2007-04-10 |
| 1891703013 | Samuel King Chiu | Dentist | 451 Castro Street, Mountain View, CA 94041 | 2006-08-03 |
| 1720095540 | Lin Ying Wang | Acupuncturist | 795 Castro Street, Mountain View, CA 94041 | 2006-08-02 |
| Find all providers in zip 94041 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1912555269 | Daniel Mcclelland | Chiropractor | 2041 Landings Dr, Mountain View, CA 94043-0825 | 2019-08-29 |
| 1730745894 | Annelies Wentzel | Chiropractor | 875 Maude Ave Ste 5, Mountain View, CA 94043-4027 | 2019-05-14 |
| 1801303748 | Lauren Groves | Chiropractor | 2044 Old Middlefield Way Ste 101, Mountain View, CA 94043-2402 | 2017-12-31 |
| 1407213689 | Jordan M Shallow | Chiropractor | 241 Polaris Ave, Mountain View, CA 94043-4514 | 2016-01-19 |
| 1770959579 | Casey Jay Derr | Chiropractor | 2044 Old Middlefield Way, Suite 101, Mountain View, CA 94043-2402 | 2015-08-15 |
| 1447641857 | Smith Chiropractic and Sports Therapy | Chiropractor | 2598 W Middlefield Rd, Mountain View, CA 94043-2732 | 2015-02-08 |
| 1891139721 | Johnny Van Duong | Chiropractor | 2425 California St Ste E, Mountain View, CA 94040-1462 | 2013-04-22 |
| 1194054536 | Brenda Taylor | Chiropractor | 1411 W El Camino Real Ste B, Mountain View, CA 94040-5101 | 2009-12-14 |
| 1619105616 | Schierling Chiropractic, LLC | Chiropractor | 1219 S State Route 17, Mountain View, MO 65548-7126 | 2009-06-29 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94041 |
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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.