RUSSELL E. NILES M.D. NPI 1023022696

NPI Information

NPI: 1023022696
Provider Name: RUSSELL E. NILES, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
3000 Q ST
SACRAMENTO, CA
ZIP 95816
Phone: (916) 733-5336
Get Directions

Russell E. Niles, M.D. is a gynecology obstetrics gynecology in Sacramento, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Russell E. Niles, M.D. NPI is 1023022696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 Q ST
SACRAMENTO, CA
ZIP 95816-058
Phone: (916) 733-5336
Fax: (916) 733-5385

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	G32453	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4812	OTHER	CALIFORNIA	FIRST HEALTH
2	012413	OTHER	CALIFORNIA	HEALTH NET
3	14028	OTHER	CALIFORNIA	INTERPLAN
4	MCMG170800	OTHER	CALIFORNIA	WESTERN HEALTH ADVANTAGE
5	90018849	OTHER	CALIFORNIA	PACIFICARE
6	1211321	OTHER	CALIFORNIA	GREAT WEST
7	4054751	OTHER	CALIFORNIA	AETNA
8	00G324530	MEDICAID	CALIFORNIA
9	G62453	OTHER	CALIFORNIA	BLUE CROSS
10	00G324531	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
11	216368	OTHER	CALIFORNIA	UNITED HEALTHCARE
12	000810354304	OTHER	CALIFORNIA	PHCS
13	4364920	OTHER	CALIFORNIA	CIGNA
14	A45155	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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