Gilberto C. Russo, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A63421 Issued in CA

Practice address

71777 San Jacinto Dr
Ste 101G
Rancho Mirage, CA 92270-4457

Phone

(760) 969-6559

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1346201811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR",
            "address_2": "SUITE 101G",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704457",
            "telephone_number": "760-969-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR",
            "address_2": "STE 101G",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704457",
            "telephone_number": "760-969-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "GILBERTO",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A63421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Ruerup, CNM
• Arianna Ruiz
• Jenny Ruiz, DNP, AGACNP-BC
• Raul Ruiz, MD
• Rupinder Mann M D Inc
• Laura Russo
• Dillon Allan Rutland, MD
• Juan Ramon Ruz, PTA
• Kirk Roberts Ryskamp, D.D.S.
• Ryszard Skulski MD a Medical Corporation

• Vascular Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.