Active NPI
Ryan Russo
- Clinical Nurse Specialist
- San Diego, CA
National Provider Identifier
1295336956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 4605
- Practice address
- 2376 Soto St
San Diego, CA 92107-1410 - Phone
- (414) 803-6018
- NPI assigned
- Nov 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 4605 | CA | Primary |
Addresses
Primary practice location
2376 Soto St
San Diego, CA 92107-1410
Mailing address
2376 Soto St
San Diego, CA 92107-1410
Phone (414) 803-6018
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | russo.ryan@scrippshealth.org | Direct | |
| Direct Messaging Address | russo.ryan@scrippshealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1295336956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 SOTO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921071410",
"telephone_number": "414-803-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 SOTO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921071410",
"telephone_number": "414-803-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "4605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "russo.ryan@scrippshealth.org",
"affiliation": "N",
"endpointDescription": "emial/messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2376 Soto St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921071410",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "russo.ryan@scrippshealth.org",
"affiliation": "N",
"endpointDescription": "email/messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2376 Soto St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921071410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.