Individual provider Active NPI

Russell Chan Igarashi, DO

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1346878105
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A21846 Issued in CA
Practice address
1100 W Stewart Dr
Orange, CA 92868-3849
Phone
(714) 771-8000
NPI assigned
Mar 28, 2020
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125078720 IL
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 20A21846 CA Primary

Addresses

Primary practice location

1100 W Stewart Dr
Orange, CA 92868-3849

Mailing address

654 Brigham Young Dr
Claremont, CA 91711-2064
Phone (626) 321-7711

Other practice location 1

3100 N. Tenaya Way
Graduate Medical Education
Las Vegas, NV 89128-0431
Phone (702) 962-9610

Other practice location 2

600 S Paulina St Ste 403
Chicago, IL 60612-3806
Phone (312) 942-0312

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
I20240912001768 CA Practitioner - Anesthesiology 4385068659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 744-8700

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (855) 999-4641

455 S Main St
Orange, CA 92868-3835
Phone (714) 532-8406

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21846CAMDAnesthesiology Physician
125078720ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1346878105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 BRIGHAM YOUNG DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112064",
            "telephone_number": "626-321-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N. Tenaya Way",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280431",
            "country_code": "US",
            "telephone_number": "702-962-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Paulina St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123806",
            "country_code": "US",
            "telephone_number": "312-942-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGARASHI",
        "first_name": "RUSSELL",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125078720",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A21846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.