Marlon Saint Steve Russell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A118486 Issued in CA

Practice address

12370 Hesperia Rd Ste 15
Victorville, CA 92395

Phone

(760) 261-5292

Fax

(760) 261-5263

NPI assigned

Sep 29, 2011

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

Enrolled in CA

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 1

Specialty

Internal Medicine

Education

Howard University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Desert Medical CorporationGroup PAC ID 6103730569, 58 clinicians

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: marlon.russell.p2@direct.hvvmg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Vvipa Medical Group Inc

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Motion Picture and Television Fund Medical Group Inc

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1013942622
  NPD (past)
• Motion Picture and Television Fund Medical Group, Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1821324542
  NPD (past)

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1497039119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 15",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955808",
            "telephone_number": "760-261-5292",
            "fax_number": "760-261-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 15",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-261-5292",
            "fax_number": "760-261-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "IRD 620",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-409-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Mountain View St Ste E",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113052",
            "country_code": "US",
            "telephone_number": "760-256-1777",
            "fax_number": "760-256-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARLON",
        "middle_name": "SAINT STEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Ruiz
• Sylvia Ruiz
• Marlane Rulloda
• Leeann B Russell
• Mark Russell, M.D.
• Lauretta Marie Rustad, PT, DPT
• Ruth Hernandez M.D Medical Professional Corporation
• Giorgia Ruzzene
• S.M. Bhatt, DDS, Inc
• S.M. Bhatt, DDS, Inc

• Internal Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.