GILBERTO C. RUSSO M.D. NPI 1346201811

NPI Information

  • NPI: 1346201811
  • Provider Name: GILBERTO C. RUSSO, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • Address: 71777 SAN JACINTO DR
    STE 101G
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 969-6559

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NPI Details

Gilberto C. Russo, M.D. is a vascular surgery surgery in Rancho Mirage, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Gilberto C. Russo, M.D. NPI is 1346201811. 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:

71777 SAN JACINTO DR
STE 101G
RANCHO MIRAGE, CA
ZIP 92270-457
Phone: (760) 969-6559

The enumeration date for this NPI number is 3/31/2006 and was last updated on 12/28/2011.

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
12086S0129XSurgeryVascular SurgeryA63421CALIFORNIAYes

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
1I17722MEDICARE UPINALABAMA
200A634215MEDICARE PINCALIFORNIA
300A634213MEDICARE PINCALIFORNIA
400A634212MEDICARE PINCALIFORNIA
500A634214MEDICARE PINCALIFORNIA
600A634211MEDICARE PINCALIFORNIA

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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