Gabriel Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19969 Issued in CA

Practice address

655 Castro St
Suite 3
Mountain View, CA 94041-2000

Phone

(650) 363-1156

Fax

(650) 363-1271

NPI assigned

Jun 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Glenn Russo Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Pain Center of Connecticut Corp PC

  • Chiropractor
  • Danbury, CT
  • NPI 1609740869
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1972739472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CASTRO ST",
            "address_2": "SUITE 3",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412000",
            "telephone_number": "650-363-1156",
            "fax_number": "650-363-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CASTRO ST",
            "address_2": "SUITE 3",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412000",
            "telephone_number": "650-363-1156",
            "fax_number": "650-363-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "RUSSO",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sooji Lee Rugh, M.D.
• Clarissa Ruiz
• Pamela Elizabeth Ruiz, PA-C
• Joy E Rumsey, LCSW-C
• Cindy Russell, M.D.
• Rutner Dental
• Robert Rutner, DDS
• Rxconsult Corporation
• Jennifer Victoria Ryerson, P.A.-C
• David P. Sachs, MD

• Chiropractor in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.