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RENITA YVETTE RUSSELL
NPI 1164680930
Rehabilitation Practitioner in Lancaster, CA

Active since May 29, 2008
921 W AVENUE J, SUITE C, LANCASTER, CA 93534(661) 949-0131 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renita Yvette Russell NPPES

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

RENITA YVETTE RUSSELL (NPI 1164680930) is an individual rehabilitation practitioner in Lancaster, California and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1164680930
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameRENITA YVETTE RUSSELL
Location Address921 W AVENUE J, SUITE CLancaster, CA 93534-3443
Mailing Address40944 Knoll DrPalmdale, CA 93551-5627 · (661) 400-3551
Phone(661) 949-0131
Sole ProprietorYes
Enumeration DateMay 29, 2008
Last NPPES UpdateJune 5, 2008
✔ NPI 1164680930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

921 W AVENUE J, Lancaster, CA 93534
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Other Identifiers 1

Medicaid00007473CA

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.

MS. VICTORIA LYNN JACKSON
Community Health Worker
921 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
JAIME K NUNNENKAMP
Social Worker (Clinical)
921 W AVENUE J, SUITE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
JON STOVALL MA, MFT
Marriage & Family Therapist
921 W AVENUE J, SUITE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MRS. TAMALA SUE DIETRICH LCSW
Social Worker (Clinical)
921 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MRS. MIRIAM YANETT JIMENEZ ACSW
Social Worker (Clinical)
921 W AVENUE J, SUITE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MS. DEBORAH ANN DEVINE LCSW
Social Worker (Clinical)
921 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
CLEMENCE AMIA
Community Health Worker
921 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MS. BINA ROCHELLE GOLD
Social Worker (Clinical)
921 W AVENUE J, SUITE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131

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 Renita Russell's NPI number?

The NPI number for Renita Russell is 1164680930. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Renita Russell located?

Renita Russell practices at 921 W Avenue J Suite C, Lancaster, CA 93534. The listed phone number is (661) 949-0131.

What is Renita Russell's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Renita Russell was last updated on June 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.