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SCOTT RUSSELL DO INC
NPI 1144919911
Clinic/Center in Bermuda Dunes, CA

Active since May 05, 2023CLIA 05D2292078 · Waiver
41120 WASHINGTON ST STE 210, BERMUDA DUNES, CA 92203(760) 391-8436 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2023, May 5, 2023 (2 updates tracked since 2023).

About Scott Russell Do Inc NPPES

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

SCOTT RUSSELL DO INC (NPI 1144919911), doing business as Scott Russell Do, Mha, is a healthcare organization registered as a clinic/center in Bermuda Dunes, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Scott Russell, President, as its authorized official.

NPPES Registry Identity

NPI1144919911
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSCOTT RUSSELL DO INC
Location Address41120 WASHINGTON ST STE 210Bermuda Dunes, CA 92203-9596
Mailing Address45815 Camino Vis Ste 210La Quinta, CA 92253-7231 · (760) 391-8436
Phone(760) 391-8436
Organization SubpartNo
Authorized OfficialScott RussellPresident · (760) 391-8436
Enumeration DateMay 5, 2023
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1144919911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
41120 WASHINGTON ST STE 210, Bermuda Dunes, CA 92203
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Other Names 1

Doing Business AsScott Russell Do, Mha

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2292078

Scott Russell Do Mha · Indio, CA
Active · expires Oct 18, 2027
CLIA Number05D2292078
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorScott A. Russell
Laboratory Phone(760) 391-8436
Laboratory LocationScott Russell Do Mha41120 Washington St, Suite 210, Indio, CA 92203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Russell Do Inc's NPI number?

The NPI number for Scott Russell Do Inc is 1144919911. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Scott Russell DO, MHA.

Where is Scott Russell Do Inc located?

Scott Russell Do Inc is located at 41120 Washington St Ste 210, Bermuda Dunes, CA 92203. The listed phone number is (760) 391-8436.

What is Scott Russell Do Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Scott Russell Do Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2292078) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Russell Do Inc was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.