William M. Russell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G37912 Issued in CA

Practice address

1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737

Phone

(805) 461-7080

Fax

(805) 464-0243

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Radiology Associates of San Luis Obispo

  dba Coastal Diagnostic Center/Arroyo Grande Hospital

  • Specialist
  • Pismo Beach, CA
  • NPI 1417182510
  NPD (past) Authorized official
• Magnetic Resonance Imaging of San Luis Obispo, Inc.

  • Diagnostic Radiology Physician
  • San Luis Obispo, CA
  • NPI 1003187881
  NPD
• Pueblo Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1871549899
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1104892454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2920",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934232920",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 LAS TABLAS RD",
            "address_2": "SUITE 103",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659737",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G37912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G379120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Louise Rose, PT
• Mark Rotenstein, DPM
• Sandra Rowell-Connors
• Michael Angel Ruiz, PT
• Laura Jangaard Rusco, SP8683
• Karma M Sage-Johnson, PT
• San Luis Obispo Ca Endoscopy ASC LP (Templeton Endoscopy Center)
• San Luis Obispo County Drug and Alcohol Services
• San Luis Obispo Eye Associates, a Medical Group Inc
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc (Movement For Life Physical Therapy)

• Diagnostic Radiology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.