SANDRA GERALDINE RUSSO RD NPI 1467657767

NPI Information

  • NPI: 1467657767
  • Provider Name: SANDRA GERALDINE RUSSO, RD
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 2925 PALO VERDE AVE
    LONG BEACH, CA
    ZIP 90815
  • Phone: (562) 429-2473

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NPI Details

Sandra Geraldine Russo, RD is a nutrition and metabolic dietitian registered in Long Beach, CA. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Sandra Geraldine Russo, RD NPI is 1467657767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2925 PALO VERDE AVE
LONG BEACH, CA
ZIP 90815-552
Phone: (562) 429-2473
Fax: (562) 496-5577

The enumeration date for this NPI number is 6/18/2007 and was last updated on 8/26/2008.

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
1133VN1006XDietitian, RegisteredNutrition, Metabolic838417CALIFORNIAYes

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
18381417OTHERCALIFORNIACDR

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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