Michael Russo, D.C. QME

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22452 Issued in CA

Practice address

12362 Euclid St
Garden Grove, CA 92840-3308

Phone

(714) 534-5712

Fax

(714) 534-3581

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Russo Chiropractic Corp.

  • Independent Medical Examiner Chiropractor
  • Garden Grove, CA
  • NPI 1164623864
  NPD (past)
• Sean Leson DO MPH PC

  • Medical Specialty Clinic/Center
  • Garden Grove, CA
  • NPI 1245305838
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801824362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12362 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403308",
            "telephone_number": "714-534-5712",
            "fax_number": "714-534-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12362 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403308",
            "telephone_number": "714-534-5712",
            "fax_number": "714-534-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C. QME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Ruiz
• Sharick Ruiz
• Jennica Caitlin Running
• Ruso
• Russo Chiropractic Corp.
• Richard Michael Rutledge, D.O.
• Ryan Blossey Chiropractic, Inc
• Kristine Ryan, COTA/L
• S. Truong Dental Corporation
• S.S. Kim, D.D.S., Inc.

• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.