DR. JOHN BAPTIST RUSSO M.D. NPI 1013120286

NPI Information

  • NPI: 1013120286
  • Provider Name: DR. JOHN BAPTIST RUSSO, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • Address: 593 W 6TH ST
    SAN PEDRO, CA
    ZIP 90731
  • Phone: (310) 547-0202

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NPI Details

DR. John Baptist Russo, M.D. is a public health and general preventive medicine preventive medicine in San Pedro, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. John Baptist Russo, M.D. NPI is 1013120286. 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:

593 W 6TH ST
SAN PEDRO, CA
ZIP 90731-521
Phone: (310) 547-0202
Fax: (310) 547-5096

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/8/2007.

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
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineA39364CALIFORNIAYes

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: 11/21/2025

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