Darren Russell

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

542 Arbor CT
Simi Valley, CA 93065-8238

Phone

(818) 807-4206

NPI assigned

Mar 26, 2014

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

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

Specialty

General Surgery

Education

University of Southern California Keck School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dignity Health

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment Care Compare group NPD
• Dignity Health

  • Multi-Specialty Clinic/Center
  • Red Bluff, CA
  • NPI 1134687734
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health

  • Rural Health Clinic/Center
  • Weed, CA
  • NPI 1255609699
  NPD (past)
• Dignity Health

  • Skilled Nursing Facility
  • Mount Shasta, CA
  • NPI 1376535344
  NPD (past)
• Dignity Health

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1508341397
  NPD (past)
• Dignity Health

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1568799500
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • Critical Access Hospital
  • Mount Shasta, CA
  • NPI 1518085430
  Care Compare affiliation

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1164849212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 ARBOR CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658238",
            "telephone_number": "818-807-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 ARBOR CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658238",
            "telephone_number": "818-807-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DARREN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arely Ruiz
• Debra Marie O'Brien Ruiz, MS, LMFT
• Hope Riley Ruiz
• Heather Reane Rundgren, RNFA
• Scarlett Runkle
• Shelby Russell
• RX Point Pharmacy Inc
• Courtney Ryan
• Lyndsey Ryburn, MOT, OTR/L
• John Ilsun Ryu, O.D.

• Student in an Organized Health Care Education/Training Program in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.