Kenneth Carl Russ, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

A48224 Issued in CA

Practice address

7885 Annandale Ave
Desert Hot Springs, CA 92240-1419

Phone

(760) 329-2924

NPI assigned

Jul 17, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Debentz Inc.

  dba Cherry Blossom Hospice

  • Home Health Agency
  • Barstow, CA
  • NPI 1861849093

  Contracted Managing Employee

  CMS ownership

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.

• Kenneth Carl Russ MD Inc

  • Addiction Medicine (Family Medicine) Physician
  • Palm Desert, CA
  • NPI 1760334312
  NPD (past) Authorized official
• Hemmat Health, PC

  • Addiction Medicine (Preventive Medicine) Physician
  • Rolling Hills Estates, CA
  • NPI 1508619420
  NPD (past)
• Soroptimist House of Hope, Inc

  • Substance Abuse Rehabilitation Facility
  • Desert Hot Springs, CA
  • NPI 1710277694
  NPD (past)
• The Ranch Recovery Centers Inc

  • Substance Abuse Rehabilitation Facility
  • Desert Hot Springs, CA
  • NPI 1649333030
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1245258235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36917 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116072",
            "telephone_number": "760-835-0425",
            "fax_number": "760-416-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7885 ANNANDALE AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401419",
            "telephone_number": "760-329-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36917 Cook St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116072",
            "country_code": "US",
            "telephone_number": "760-835-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "KENNETH",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A48224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Romero
• Rocio Romo, RN
• Ross Lambert Investment Inc. (Agua Dulce Home Care 1 & 2)
• Paul M Ross, DC
• Karly Kristine Rubly, LADC
• Sacremento Theological Seminary and Bible College
• Sara Saez
• Maged Ragaie Aziz Salama
• David Frank Salas Jr., PT DPT CSCS
• Raymond Salas, LVN

• Addiction Medicine (Family Medicine) Physician in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.