MR. PAUL ROBERT RUSSO FNP
NPI 1164465753
Nurse Practitioner in San Diego, CA
About Mr. Paul Robert Russo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL ROBERT RUSSO FNP (NPI 1164465753) is an individual nurse practitioner in San Diego, California, licensed in Texas (1112141) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Paul Robert Russo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92134
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 Paul Russo's NPI number?
The NPI number for Paul Russo is 1164465753. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Paul Russo located?
Paul Russo practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-8109.
What is Paul Russo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Paul Russo enrolled in Medicare?
Yes. Paul Russo is registered in the Medicare PECOS enrollment system.
What insurance does Paul Russo accept?
Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Paul Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Paul Russo was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Mr. Paul Robert Russo, FNP · NPI 1164465753
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1164465753 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1112141 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 34800 BOB WILSON DR, San Diego, CA 92134-1098
- **Phone:** (619) 532-8109
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164465753) · Data from the CMS NPPES public registry.