Active NPI
Peter Martin Russo, MD
- Emergency Medicine Physician
- Oroville, CA
National Provider Identifier
1679528350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G39732
- Practice address
- 1611 Feather River Blvd
Suite #10
Oroville, CA 95965 - Phone
- (530) 534-4530
- Fax
- (530) 532-8290
- NPI assigned
- May 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G39732 | CA | Primary |
Addresses
Primary practice location
1611 Feather River Blvd
Suite #10
Oroville, CA 95965
Mailing address
PO Box 5040
Oroville, CA 95966
Phone (530) 532-8584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00143859 | Other | RAILROAD MEDICARE RRM | |
| 00G397320 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oroville Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Oroville, CA
- NPI 1871697102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679528350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5040",
"city": "OROVILLE",
"state": "CA",
"postal_code": "95966",
"telephone_number": "530-532-8584",
"fax_number": "530-532-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 FEATHER RIVER BLVD",
"address_2": "SUITE #10",
"city": "OROVILLE",
"state": "CA",
"postal_code": "95965",
"telephone_number": "530-534-4530",
"fax_number": "530-532-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "PETER",
"middle_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G39732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE RRM",
"identifier": "P00143859",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G397320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.