1. Home
  2. Directory
  3. California
  4. Hayward
  5. Family Medicine
  6. NPI Profile

RUSSELL LESLIE BLACKBURN MD
NPI 1265448716
Family Medicine in Hayward, CA

Active since August 01, 2006PECOS Enrolled
21297 FOOTHILL BLVD, SUITE 201, HAYWARD, CA 94541(510) 538-4636(510) 538-1615 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell Leslie Blackburn Md NPPES

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

RUSSELL LESLIE BLACKBURN MD (NPI 1265448716) is an individual family medicine provider in Hayward, California, licensed in California (A31946) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265448716
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUSSELL LESLIE BLACKBURNCredential: MD
Location Address21297 FOOTHILL BLVD, SUITE 201Hayward, CA 94541-1554
Mailing Address21297 Foothill Blvd, Suite 201Hayward, CA 94541-1554 · (510) 538-4636 · Fax (510) 538-1615
Phone(510) 538-4636
Fax(510) 538-1615
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265448716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A31946
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21297 FOOTHILL BLVD, Hayward, CA 94541
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA26650
Medicare ID-Type UnspecifiedOOA319460

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Leslie Blackburn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

PHILIP KELLER STALEY DDS
Dentist
21297 FOOTHILL BLVD, # 204
HAYWARD, CA 94541
Alameda County (510) 582-1757
DR. FAY FERESHTEH NIAZI D.O.
Optometrist
21297 FOOTHILL BLVD, STE 101
HAYWARD, CA 94541
Alameda County (510) 537-5069
DR. ALISON JO COOK DPM, MS
Podiatrist
21297 FOOTHILL BLVD, 202
HAYWARD, CA 94541
Alameda County (510) 583-1331
EXXCEED WELLNESS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
21297 FOOTHILL BLVD, SUITE 203
HAYWARD, CA 94541
Alameda County (415) 636-9700
WENDY S MILLER MFT
Marriage & Family Therapist
21297 FOOTHILL BLVD, SUITE 100
HAYWARD, CA 94541
Alameda County (510) 889-7300

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 Blackburn's NPI number?

The NPI number for Russell Blackburn is 1265448716. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Russell Blackburn located?

Russell Blackburn practices at 21297 Foothill Blvd Suite 201, Hayward, CA 94541. The listed phone number is (510) 538-4636.

What is Russell Blackburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Russell Blackburn enrolled in Medicare?

Yes. Russell Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Blackburn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.