Individual provider Active NPI

Russell John Molina, CPO

  • Specialist
  • Palm Desert, CA
National Provider Identifier
1962456855
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
75150 Sheryl Ave Ste a
Palm Desert, CA 92211-5118
Phone
(760) 345-4779
Fax
(760) 772-3904
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

75150 Sheryl Ave Ste a
Palm Desert, CA 92211-5118

Mailing address

75150 Sheryl Ave Ste a
Palm Desert, CA 92211-5118
Phone (760) 345-4779

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthetic & Orthotic Management Inc Current Accepting new patients
Prosthetic & Orthotic Management Inc Current Accepting new patients
Russell John Molina Current Accepting new patients

Locations

75150 Sheryl Ave
Ste A
Palm Desert, CA 92211
Phone (760) 216-3009

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1962456855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75150 SHERYL AVE STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115118",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75150 SHERYL AVE STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115118",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "RUSSELL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.