Peter Joseph Russo (NPI# 1588729941, PAC ID# 4587822697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588729941 |
| PAC ID by PECOS | 4587822697 |
| Professional Enrollment ID | I20120221000580 |
| Full Name | Peter Joseph Russo |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Address |
480 Plumas Blvd Yuba City CA 95991-5005 |
| Phone Number | 5307493307 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830094515 |
| Number of Group Practice Members | 1359 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050122 | DAMERON HOSPITAL |
| 050336 | LODI MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 815 Court St, Jackson, CA 95642-2154 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 460 Plumas Blvd, Suite 202, Yuba City, CA 95991-5005 | 5307495500 | SUTTER VALLEY MEDICAL FOUNDATION |
| 460 Plumas Blvd, Yuba City, CA 95991-5005 | 5307495500 | SUTTER VALLEY MEDICAL FOUNDATION |
| 480 Plumas Blvd, Yuba City, CA 95991-5005 | 5307493307 | SUTTER VALLEY MEDICAL FOUNDATION |
| 480 Plumas Blvd, Suite 204, Yuba City, CA 95991-5005 | 5307493307 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Physicians | 1565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swe Than | Internal Medicine | Sutter Valley Medical Foundation | 1195 Queen Ann Dr, Sunnyvale, CA 94087-2240 |
| Manjinder Kaur | Rheumatology | Sutter Valley Medical Foundation | 1020 29th St, Sacramento, CA 95816-5173 |
| Kimberly Ann Riggs | Physical Therapy | Sutter Valley Medical Foundation | 685 Twelve Bridges Dr, Suite A, Lincoln, CA 95648-8689 |
| Andrea Lim Beyaoju | Nurse Practitioner | Sutter Valley Medical Foundation | 3161 L St, Sacramento, CA 95816-5234 |
| Anitha Choorakulam George | Nurse Practitioner | Sutter Valley Medical Foundation | 3425 Coffee Rd, Suite A2, Modesto, CA 95355-1582 |
| David Wong | Physical Therapy | Sutter Valley Medical Foundation | 420 B St, Yuba City, CA 95991-5070 |
| Julie Debra Hunt | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Lakhvir Kaur | Internal Medicine | Sutter Valley Medical Foundation | 3 Medical Plaza Dr, Roseville, CA 95661-3088 |
| Gokul Budati | Family Medicine | Sutter Valley Medical Foundation | 16911 Willow Glen Rd, Brownsville, CA 95919-9707 |
| Katherine Melissa Sadoff | Occupational Therapy | Sutter Valley Medical Foundation | 2720 Low Ct, Fairfield, CA 94534-9771 |
| Street Address |
480 PLUMAS BLVD |
| City | YUBA CITY |
| State | CA |
| Zip | 95991-5005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cosmo Lyle Fraser | Nephrology | 2115 E Onstott Rd, Yuba City, CA 95991-1556 | |
| Jodi E Pace | Nurse Practitioner | Rideout Medical Associates, Inc. | 1260 Williams Way, Yuba City, CA 95991-2400 |
| Jackson Lim | Podiatry | 1531 Plumas Ct, A, Yuba City, CA 95991-2960 | |
| Allan R Au | Allergy/immunology | Allan R Au Md Inc | 1526 Plumas Ct, Suite 400, Yuba City, CA 95991-2961 |
| Marjorie L Waters | Physician Assistant | Allan R Au Md Inc | 1526 Plumas Ct, Yuba City, CA 95991-2961 |
| Narinder Singh Basra | Internal Medicine | 1481 Plumas St, Yuba City, CA 95991-2962 | |
| Jagraj S Nijjar | Infectious Disease | 1531 Plumas Ct, Suite A, Yuba City, CA 95991-2966 | |
| Venu M Kondle | Nephrology | North Valley Nephrology Inc | 1525 Plumas Ct B, Yuba City, CA 95991-2971 |
| Anthony S Gravin | Physical Therapy | Baas and Royce Rehabilitation Services Inc | 1528 Plumas Ct, Suite 200, Yuba City, CA 95991-2973 |
| Jonathan M Royce | Physical Therapy | Baas and Royce Rehabilitation Services Inc | 1528 Plumas Ct, Suite 200, Yuba City, CA 95991-2973 |
| Find all physicians in zip 95991 | |||
| City | YUBA CITY |
| Zip Code | 95991 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | YUBA CITY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.