Russell C Davis (NPI# 1376644799, PAC ID# 9638230436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1376644799 |
| PAC ID by PECOS | 9638230436 |
| Professional Enrollment ID | I20081212000058 |
| Full Name | Russell C Davis |
| Address |
1460 N Camino Alto Suite 100 Vallejo CA 94589-2567 |
| Phone Number | 7075523434 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| 050101 | SUTTER SOLANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 S Eliseo Dr, Suite 102, Greenbrae, CA 94904-2105 | 4159273338 | |
| 2 Bon Air Rd, Suite 150, Larkspur, CA 94939-1142 | 4159275010 | |
| 1460 N Camino Alto, Suite 100, Vallejo, CA 94589-2567 | 7075523434 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1460 N CAMINO ALTO SUITE 100 |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Bradle Arnold | Cardiovascular Disease (cardiology) | John Muir Physician Network | 1460 N Camino Alto, Suite 201, Vallejo, CA 94589-2567 |
| Estelita L Carandang | Internal Medicine | Voltaire S Velarde Md Inc | 1460 N Camino Alto, Suite 109, Vallejo, CA 94589-2567 |
| Voltaire Velarde | Internal Medicine | Voltaire S Velarde Md Inc | 1460 N Camino Alto, Suite 109, Vallejo, CA 94589-2567 |
| David S Weiland | Cardiovascular Disease (cardiology) | John Muir Physician Network | 1460 N Camino Alto, Suite 201, Vallejo, CA 94589-2567 |
| Ruben S Velasquez | Internal Medicine | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | |
| Richard S Stern | Cardiovascular Disease (cardiology) | John Muir Physician Network | 1460 N Camino Alto, Suite 201, Vallejo, CA 94589-2567 |
| Robert A Gomez | Orthopedic Surgery | 1460 N Camino Alto, Suite 210, Vallejo, CA 94589-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | PODIATRY |
| City + Specialty | VALLEJO + PODIATRY |
Please comment or provide details below to improve the information on Russell C Davis.
| 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.