Individual provider Active NPI

Russell Gilbertson, MD

  • Anesthesiology Physician
  • Lakewood, CA
National Provider Identifier
1326077033
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G47691 Issued in CA
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

Updated by the provider on Feb 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G47691OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000378 CA Practitioner - Anesthesiology 8628077237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Russell M Gilbertson MD a Professional Corporation Anesthesiology CurrentSince May 12, 2006 Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 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.

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

Verify at the official NPI Registry.