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RUSSELL ODONO MD
NPI 1194045450
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Lancaster, CA

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment
615 W AVENUE L, LANCASTER, CA 93534(661) 729-7100(661) 951-2795 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Sep 23, 2016 (2 updates tracked since 2016).

About Russell Odono Md NPPES

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

RUSSELL ODONO MD (NPI 1194045450) is an individual adult reconstructive orthopaedic surgery provider in Lancaster, California, licensed in California (141218) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2010).

NPPES Registry Identity

NPI1194045450
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameRUSSELL ODONOCredential: MD
Location Address615 W AVENUE LLancaster, CA 93534-7211
Mailing Address615 W Avenue LLancaster, CA 93534-7211 · (661) 729-7100 · Fax (661) 951-2795
Phone(661) 729-7100
Fax(661) 951-2795
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2010
Enumeration DateJune 9, 2010
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1194045450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in CA · 141218
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
615 W AVENUE L, Lancaster, CA 93534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Russell Odono Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971742339
PECOS Enrollment IDI20161020000842
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Russell Odono reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.4 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SUSAN URIBE
Respiratory Therapist, Registered
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2002
DR. DIANA DAVIO M.D.
Colon & Rectal Surgery
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2866
MONIK JEFFERSON NP
Nurse Practitioner (Family)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2810
ALEXA ANGELIQUE SIRAKI
Pharmacist
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2815
DR. VANESSA OUANSSI BALEMAGNA PHARMD
Pharmacist
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2489
MS. ANGELA K. WILLIAMS LCSW
Social Worker (Clinical)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2177
DR. REUVEN B MINKOWITZ M.D.
Specialist
615 W AVENUE L, KAISER PERMANENTE ANTELOPE VALLEY
LANCASTER, CA 93534
Los Angeles County (661) 729-7100
KAMRAN KABOLIZADEH MD
Psychiatry & Neurology (Neurology)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 729-7100

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 Russell Odono's NPI number?

The NPI number for Russell Odono is 1194045450. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Russell Odono located?

Russell Odono practices at 615 W Avenue L, Lancaster, CA 93534. The listed phone number is (661) 729-7100.

What is Russell Odono's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Russell Odono enrolled in Medicare?

Yes. Russell Odono is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Russell Odono's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Odono reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Odono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Odono was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.