Jason Russo, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

226922 Issued in CA

Practice address

95 S Santa Rosa St
Ventura, CA 93001-3442

Phone

(805) 205-4787

NPI assigned

Jan 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1124358569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S SANTA ROSA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013442",
            "telephone_number": "805-205-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S SANTA ROSA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013442",
            "telephone_number": "805-205-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JASON",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "226922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Ruizvelasco
• Sean Rusin
• Anthony W. Russell, M.D.
• Melissa Lynn Russell, DO
• Ryan William Russell, BS PHARMACY
• Steven M Ruths, MD
• Sara Saemann Rutkowski, RN
• Meghan Elaine Ryall, MD
• Robert Eldon Ryan III, M.D.
• Myung Kim Ryang, MD

• Licensed Vocational Nurse in Ventura, CA
• Providers in Ventura, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.