Russell P Rapoza M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G71959 Issued in CA

Legal business name

RUSSELL P RAPOZA M D A PROFESSIONAL CORPORATION

Practice address

9940 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153

Phone

(714) 378-5507

Fax

(714) 378-5506

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Russell P Rapoza, MD

Title

Doctor

Phone

(714) 378-5507

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1528299849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE",
            "address_2": "SUITE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-5507",
            "fax_number": "714-378-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE",
            "address_2": "SUITE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-5507",
            "fax_number": "714-378-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL P RAPOZA M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "RAPOZA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-378-5507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G71959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Isabel Ruiz Pinto
• Danielle Ruiz
• G. Thomas Ruiz, MD
• Ritt Rungsisullatanont
• Jessica Rury
• Danielle Marie Russell
• Kendal Corrine Russell
• Kim Russell, PHARMD
• R. Denis Russell, D.P.M.
• Michael Anthony Russo, MD

• Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.