Russell D Seagal, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

19979 Issued in CA

Practice address

801 S Flower St
Suite 204
Los Angeles, CA 90017-4625

Phone

(213) 481-7026

Fax

(213) 623-9985

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Downtown Physicians Medical GRP Inc

  • Rehabilitation Chiropractor
  • Los Angeles, CA
  • NPI 1386846491

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366651986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26733 OAK GARDEN CT",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211434",
            "telephone_number": "818-681-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FLOWER ST",
            "address_2": "SUITE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174625",
            "telephone_number": "213-481-7026",
            "fax_number": "213-623-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGAL",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "19979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sda Inc
• Jack Julian Seabern, LCSW
• Seabeyond Inc
• Vincent Seaborn
• Kimberly F Seabrooks, AMFT; SUDRC
• Paulette Seagraves
• Selma Rose Seale, R.N.
• Dilcia Sealey, RNP
• Jade Sealey, LMFT
• Brian Seals

• Sports Physician Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.