Active NPI
Joshua Russell, M.D., MSC
- Urgent Care Clinic/Center
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- A151987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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, Washington
Practice addresses (Care Compare)
211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101
Hospital & facility affiliations
- Skyline Hospital
- Kaiser Sunnyside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD154397 | OR | MD | Emergency Medicine Physician |
| MD60339182 | WA | MD | Emergency Medicine Physician |
| PG152145 | OR | MD | Family Medicine Physician |
| A151987 | CA | MD | Urgent Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Emergency Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Public Hospital District No. 2, Klickitat County, Washington | Current | Accepting new patients | |
| Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Innovative IV Care, PLLC | Emergency Medicine | Current | Accepting new patients |
| Public Hospital District No 2, Klickitat County, Washington | Hospice and Palliative Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Legacy Clinics LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Emergency Medicine | Current | Accepting new patients |
| Public Hospital District No 2, Klickitat County Washington | Current | 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
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
- 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.
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1962453860
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1457818098
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Emergency Medicine, WA
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Emergency Medicine
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
Hospice and Palliative Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clackamas, OR
- NPI 1124182902
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.