Ryan Russo
Clinical Nurse Specialist

Address: 2376 Soto St, San Diego, CA 92107-1410
Phone: 4148036018

Ryan Russo (NPI# 1295336956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1295336956
Entity Type Individual
Full Name Ryan Russo
Gender Male
Practice Address 2376 Soto St
San Diego
CA 92107-1410
Practice Telephone 4148036018
Mailing Address 2376 Soto St
San Diego
CA 92107-1410
Mailing Telephone 4148036018
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-07
Last Update Date 2020-11-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 364S00000X Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers 4605 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1073843454 Ryan Russo Chiropractor 141 W Harrison Ave Ste D, New Orleans, LA 70124-1301 2010-01-06

Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790088219 Siti Medical Clinic Clinical Nurse Specialist 1951 4th Ave Ste 202, San Diego, CA 92101-2374 2010-12-07
1982917860 Carol Anne Johnson Clinical Nurse Specialist 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2010-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386243228 Jennifer Mccoy Clinical Nurse Specialist 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 2020-10-21
1992311757 Jose Chavez Clinical Nurse Specialist 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 2020-09-17
1134697238 Tomoko Takano Clinical Nurse Specialist 1520 Los Montes Dr, Burlingame, CA 94010-5964 2018-11-06
1811465388 Mary Molle Clinical Nurse Specialist 7509 Whitegate Ave, Riverside, CA 92506-5455 2018-11-02
1205320322 Richelle Marvett Littlejohn Clinical Nurse Specialist 1364 W 139th St Unit A, Gardena, CA 90247-2235 2018-06-21
1871015834 Cecilia Patricia Gray Clinical Nurse Specialist 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 2017-07-12
1144752650 Joann Munski Clinical Nurse Specialist 565 Cooper Dr, Benicia, CA 94510-1301 2017-04-03
1659721249 Darwin Sacdalan Clinical Nurse Specialist 7137 Lyndale Cir, Elk Grove, CA 95758-6357 2016-06-15
1548679442 Renee Center Clinical Nurse Specialist 216 Phelan Ave, Vallejo, CA 94590-6463 2014-08-05
1194154419 Mariana L Norby Clinical Nurse Specialist 9323 N Saybrook Dr, 227, Fresno, CA 93720-0829 2013-11-07
Find all providers with the same taxonomy

Office Location

Street Address 2376 SOTO ST
State CA
Zip Code 92107-1410

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497111322 Amanda Malicki Occupational Therapist 1567 Ocean Front St, San Diego, CA 92107 2016-01-07
1841689031 Shari Houser Marriage & Family Therapist 1969 Sunset Cliffs Blvd, San Diego, CA 92107 2015-01-12
1740627868 Marie Catherine Dumas Psychologist 3863 Coronado Ave, San Diego, CA 92107 2013-05-30
1386914422 South Bay Internal Medicine and Family Practice Non-Pharmacy Dispensing Site 374 H Street, 202, San Diego, CA 92107 2012-01-06
1396023982 Brooke Michelle Nielsen Marriage & Family Therapist 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 2011-07-29
1871890889 Elizabeth Cantori Occupational Therapist 1865 1/2 Ebers St, San Diego, CA 92107 2011-02-28
1861716482 Dina Chalom Physical Therapist 4833 Pescadero Ave Apt 3, San Diego, CA 92107 2010-03-25
1265762983 David A. Schein Psychiatry & Neurology 4517 Newport Avenue, San Diego, CA 92107 2009-12-31
1184836215 County of San Diego, Aging & Independance Services Community/Behavioral Health 4858 Del Mar Ave, San Diego, CA 92107 2007-05-03
1063535813 James Wilson Jones Dentist 1499 Sunset Cliffs Blvd, San Diego, CA 92107 2007-04-09
Find all providers in zip 92107


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Zip Code 92107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.