Dr. Matthew Richard Russell

M.D. | Pediatric Cardiology | Male

---

Complete Profile:

Dr. Matthew Richard Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Matthew Richard Russell
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Matthew Richard Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 Ucla Medical Plz Ste 265 Los Angeles, CA, 90095-7419 United States
Phone Number :	310-825-0867
Fax Number :	310-794-5066

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1225473077
NPI Entity Type :	Individual
First Enrolment Date :	07 May, 2013
Last Updated On :	06 Dec, 2021

Medicare Participation:

Dr. Matthew Richard Russell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8527393875
Medicare Enrollment ID :	I20190710000526
Primary Specialty :	Pediatric Medicine
Medical School :	University Of California, San Diego School Of Medicine
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Matthew Richard Russell accepts medicare insurance.

Group Practice Association:

Dr. Matthew Richard Russell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Matthew Richard Russell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Southern California Permanente Medical Group	6002729175	8030	4725 -4733 Sunset Blvd Los Angeles, CA - 900276021 Ph: 3237834011	Yes
Southern California Permanente Medical Group	6002729175	8030	4733 W Sunset Blvd Los Angeles, CA - 900276021 Ph: 2136674784	Yes
Southern California Permanente Medical Group	6002729175	8030	4700 W Sunset Blvd Los Angeles, CA - 900276082 Ph: 3237834011	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Richard Russell are as mentioned. Primary taxonomy code for Dr. Matthew Richard Russell, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A133403	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
200 UCLA MEDICAL PLZ STE 330, LOS ANGELES, CA, 90095-7419 United States	LOS ANGELES, CA	310-267-7667

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5767 W Century Blvd Ste 400 Los Angeles, CA, 90045-5631 United States

Business Location:

Patients can refer following map for directions to Dr. Matthew Richard Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.