DR. JOHN BAPTIST RUSSO M.D.
NPI 1013120286
Preventive Medicine - Public Health & General Preventive Medicine in San Pedro, CA

Q: What is John Russo's NPI number?

The NPI number for John Russo is 1013120286. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is John Russo's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for John Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2007

593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202(310) 547-5096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John Baptist Russo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN BAPTIST RUSSO M.D. (NPI 1013120286) is an individual public health & general preventive medicine provider in San Pedro, California, licensed in California (A39364) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1013120286

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. JOHN BAPTIST RUSSOCredential: M.D.

Location Address593 W 6TH STSan Pedro, CA 90731-2521

Mailing Address593 W 6th StSan Pedro, CA 90731-2521 · (310) 547-0202 · Fax (310) 547-5096

Phone(310) 547-0202

Fax(310) 547-5096

Sole ProprietorNo

Enumeration DateMay 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013120286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in CA · A39364

Definition

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.

593 W 6TH ST, San Pedro, CA 90731

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLA BERENICE GUZMAN ALBA ASW132718

Social Worker (Clinical)