Active NPI
Rose Delaine Russell, DC
- Chiropractor
- Oakland, CA
National Provider Identifier
1972292589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36269
- Practice address
- 5335 College Ave Ste 25
Oakland, CA 94618-2804 - Phone
- (510) 499-7859
- NPI assigned
- May 1, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36269 | CA | Primary |
Addresses
Primary practice location
5335 College Ave Ste 25
Oakland, CA 94618-2804
Mailing address
1726 Buena Vista Ave
Alameda, CA 94501-1269
Phone (510) 499-7859
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36269 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1972292589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 BUENA VISTA AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011269",
"telephone_number": "510-499-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 COLLEGE AVE STE 25",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946182804",
"telephone_number": "510-499-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ROSE",
"middle_name": "DELAINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.