RUSSELL ROBERT WYCOFF MD NPI 1740384304

NPI Information

  • NPI: 1740384304
  • Provider Name: RUSSELL ROBERT WYCOFF, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • Address: 751 CORDOVA STREET
    SUITE #1
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 577-2424

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NPI Details

Russell Robert Wycoff, MD is a vascular and interventional radiology radiology in Pasadena, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Russell Robert Wycoff, MD NPI is 1740384304. 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:

751 CORDOVA STREET
SUITE #1
PASADENA, CA
ZIP 91101-617
Phone: (626) 577-2424
Fax: (626) 577-2995

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/11/2025.

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
12085R0202XRadiologyDiagnostic RadiologyG16750CALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyG16750CALIFORNIAYes

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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