Russell C Davis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2804 Issued in CA

Practice address

1000 S Eliseo Dr Ste 102
Greenbrae, CA 94904-2105

Phone

(628) 253-5164

Fax

(415) 927-3170

NPI assigned

Sep 26, 2006

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
• Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Merit-based Incentive Payment System (MIPS)

Final score

20.23 of 100Reported as individual

Quality

32.89

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rdavisdpm153950@hisp.ehr.sutterhealth.org

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.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)
• Sutter Valley Hospitals

  dba Sutter Solano Medical Center

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  NPD (past)

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

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Solano Medical Center

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1376644799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 102",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042105",
            "telephone_number": "628-253-5164",
            "fax_number": "415-927-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 102",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042105",
            "telephone_number": "628-253-5164",
            "fax_number": "415-927-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RUSSELL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meskerem Daba, RN, BSN
• Dana Forman, Inc.
• Margaret RL Dann, RN, MSN, FPMHNP-BC
• Kerry Lynn Davidson, M.D.
• Mary Newberry Davis, CNM
• Heather Dawn
• Timothy Charles Dawson, M.D.
• Tchana Maria De Moura
• Ashley Deck
• Jacqueline Sue Dela Merced, MD

• Podiatrist in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.