Edgar Russell, DO | |
6276 River Crest Dr, Riverside, CA 92507-0754 | |
(951) 413-0964 | |
(951) 653-5161 |
Full Name | Edgar Russell |
---|---|
Gender | Male |
Speciality | Family Medicine - Adult Medicine |
Location | 6276 River Crest Dr, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790707156 | NPI | - | NPPES |
GR0086790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 20A6100 (California) | Primary |
Entity Name | Healthpointe Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548201304 PECOS PAC ID: 0941299135 Enrollment ID: O20040511001815 |
Mailing Address | Practice Location Address |
---|---|
Edgar Russell, DO 1413 Calle De Oro, San Dimas, CA 91773-4015 Ph: (909) 592-4566 | Edgar Russell, DO 6276 River Crest Dr, Riverside, CA 92507-0754 Ph: (951) 413-0964 |
Miriam Cho, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3616 Fax: 951-784-3268 | |
Sung Jin John, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Denise A Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 University Ave Ste 100, Riverside, CA 92501 Phone: 844-827-8000 | |
Nathan Hao Hsin Yen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5427 Fax: 951-697-5516 | |
Dr. Janis Neuman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 Fax: 951-358-6044 | |
Wayne Dysinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4368 Central Ave, Riverside, CA 92506 Phone: 951-742-7324 Fax: 951-394-7267 | |
Ana Karla Aguilera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4510 Brockton Ave Ste 225, Riverside, CA 92501 Phone: 951-529-5147 |