Active NPI
Russell Paul Rapoza, M.D.
- Specialist
- Fountain Valley, CA
National Provider Identifier
1003873605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G71959
- Practice address
- 9940 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153 - Phone
- (714) 378-5507
- Fax
- (714) 378-5506
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G71959 | CA | Primary |
Addresses
Primary practice location
9940 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153
Mailing address
9940 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153
Phone (714) 378-5507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G719590 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Global Medical Center, Inc | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- russell.rapoza@ca008.digichart.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1558354258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1003873605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9940 TALBERT AVE",
"address_2": "SUITE 201",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-378-5507",
"fax_number": "714-378-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 TALBERT AVE",
"address_2": "SUITE 201",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-378-5507",
"fax_number": "714-378-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPOZA",
"first_name": "RUSSELL",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G71959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G719590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.