Cynthia Ellen Russell-McClain, N.P., P.A.-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

PA14098 Issued in CA

Practice address

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-7849

Phone

(831) 375-3577

Fax

(831) 375-1478

NPI assigned

Dec 22, 2006

Last updated

Jan 27, 2014By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valle Verde Medical Group Inc

  • Family Medicine Physician
  • Salinas, CA
  • NPI 1558472720
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1174688956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17621 CUNHA LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939071528",
            "telephone_number": "831-754-1544",
            "fax_number": "831-754-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407849",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-MCCLAIN",
        "first_name": "CYNTHIA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "N.P., P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "PA14098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15145Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0091130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarina Isabella Ruiz
• Laura Ruiz
• Peter A Ruiz, DC
• Peter Alan Rush
• Lauren Marie Ruskell
• Jillian Pennell Rutherford, PA-C
• Ryan Ranch Medical Group a Medical Corporation
• Ryan Ranch Physical Therapy, Inc (Ryan Ranch Physical Therapy Of Monterey)
• Andrey I Rychkov, MD
• Kara Marie Ryker, M.S., CCC-SLP

• Nurse Practitioner in Monterey, CA
• Providers in Monterey, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.