| Dr James W Russell, MD | |
|
24451 Health Center Dr, Laguna Hills, CA 92653-3689 | |
| (949) 837-4500 | |
| (949) 837-4621 |
| Full Name | Dr James W Russell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 24451 Health Center Dr, Laguna Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174546055 | NPI | - | NPPES |
| 00G543460385 | Other | CA | CALOPTIMA ID # |
| 00G543460 | Other | CA | BLUE SHIELD ID # |
| 00G543460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G05436 (California) | Primary |
| Entity Name | California Anesthesia Associates Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457399933 PECOS PAC ID: 8426047721 Enrollment ID: O20040512000461 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James W Russell, MD Po Box 10429, Newport Beach, CA 92658-0429 Ph: (949) 417-1812 | Dr James W Russell, MD 24451 Health Center Dr, Laguna Hills, CA 92653-3689 Ph: (949) 837-4500 |
Mehdat Elfaizy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 24022 Calle De La Plata Ste 180, Laguna Hills, CA 92653 Phone: 949-458-3551 | |
Dr. Laura Heejin Park, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 800-888-2186 | |
Dr. Kathleen Beatrice Sullivan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 | |
Dr. Hoang Tran, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 | |
Dr. Afshin S Gerayli, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24953 Paseo De Valencia, Suite#14-c, Laguna Hills, CA 92653 Phone: 949-855-7560 Fax: 949-855-7590 | |
Dr. Dorming Wong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 |