Russell John Molina

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RUSSELL JOHN MOLINA

Practice address

73345 Highway 111
Ste 102
Palm Desert, CA 92260-3909

Phone

(760) 345-4779

Fax

(760) 772-3904

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Russell J Molina, CPONPI 1962456855

Title

Owner

Phone

(760) 345-4779

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coachella Valley Orthopedic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell John Molina, CPO

  • Specialist
  • Palm Desert, CA
  • NPI 1962456855
  NPD Authorized official

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1356549836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73345 HIGHWAY 111",
            "address_2": "STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73345 HIGHWAY 111",
            "address_2": "STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL JOHN MOLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-345-4779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XC0026070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coachella Valley Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mika Rubarts Rubarts
• Esmeralda Ruelas
• Carina Ruiz, COTA
• Janette Berenice Ruiz, LVN
• Rushcare Foundation, Inc.
• Nicholas Russo, PT, DPT, CSCS
• Olivia Russo
• Ryan Walter Wood, DPM, Inc
• Janis Ryan
• Ryhac, Inc

• Prosthetic/Orthotic Supplier in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.