Active NPI
Russell Gilbertson, MD
- Anesthesiology Physician
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G47691
- Practice address
- 3700 South St
Lakewood, CA 90712-1419 - Phone
- (562) 407-2080
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G47691 | CA | Primary |
Addresses
Primary practice location
3700 South St
Lakewood, CA 90712-1419
Mailing address
PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G47691 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Anesthesia Group Inc | Current | Accepting new patients | |
| Russell M Gilbertson MD a Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Century Anesthesia Assoc. | Anesthesiology | Past | Accepting new patients |
| Lenox Hill Medical Anesthesiology, PLLC | Past | Accepting new patients |
Locations
450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050
9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900
450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040
120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755
150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507
1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330
1801 W Olympic Blvd
#2100
Pasadena, CA 91199
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Gardena, CA
- NPI 1942377189
-
- Specialist
- Beverly Hills, CA
- NPI 1205253929
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1326036781
-
- Specialist
- New York, NY
- NPI 1447256573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1326077033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4259",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034259",
"telephone_number": "562-407-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121419",
"telephone_number": "562-407-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G47691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G47691",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.