Individual provider Active NPI

Joshua Russell, M.D., MSC

  • Urgent Care Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1417274200
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A151987 Issued in CA
Practice address
3215 N Sepulveda Blvd
Manhattan Beach, CA 90266-2453
Phone
(424) 295-0540
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD154397 OR
Urgent Care Clinic/Center 261QU0200X A151987 CA Primary
Emergency Medicine Physician 207P00000X MD60339182 WA
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD60339182 WA
Family Medicine Physician 207Q00000X PG152145 OR
Student in an Organized Health Care Education/Training Program 390200000X
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD154397 OR

Addresses

Primary practice location

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266-2453

Mailing address

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266-2453
Phone (424) 295-0540

Other practice location 1

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

Other practice location 2

500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone (800) 813-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131025000099 WA Practitioner - Emergency MedicinePractitioner - Other (Physician) 2567616840 Reassigns benefits to 5 organizations
I20170228000800 OR Practitioner - Emergency MedicinePractitioner - Other (Physician) 2567616840 Reassigns benefits to 2 organizations
I20210507001654 IL Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 2567616840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

Hospital & facility affiliations

  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • Kaiser Sunnyside Medical Center Hospital, Clackamas, OR, CCN 380091

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154397ORMDEmergency Medicine Physician
MD60339182WAMDEmergency Medicine Physician
PG152145ORMDFamily Medicine Physician
A151987CAMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 30, 2021 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington CurrentSince Feb 1, 2026 Accepting new patients
Emergency Medicine Associates PC Emergency Medicine CurrentSince Jan 14, 2015 Accepting new patients
Endeavor Health Medical Group Emergency Medicine Current Accepting new patients
Innovative IV Care, PLLC Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington Hospice and Palliative Medicine CurrentSince Feb 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 22, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 22, 2022 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Jan 21, 2017 Accepting new patients
Legacy Clinics LLC Hospice and Palliative Medicine CurrentSince Jan 21, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine CurrentSince Aug 22, 2022 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Feb 1, 2026 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

600 NE 92nd Ave
Vancouver, WA 98664
Phone (360) 514-2142

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
  • Direct secure messaging: jrussell26567@direct.peacehealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1417274200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662453",
            "telephone_number": "424-295-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662453",
            "telephone_number": "424-295-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 NE Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "White Salmon",
            "state": "WA",
            "postal_code": "986721948",
            "country_code": "US",
            "telephone_number": "509-493-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 NE Multnomah St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322031",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D., MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD154397",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A151987",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60339182",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD60339182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PG152145",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "MD154397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.