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KENNETH RUSS MD, PROFESSIONAL CORPORATION
NPI 1316428931
Internal Medicine in Palm Springs, CA

Active since August 22, 2018CLIA 05D2120979 · Waiver
490 S FARRELL DR STE C106, PALM SPRINGS, CA 92262(760) 416-6773 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Russ Md, Professional Corporation NPPES

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

KENNETH RUSS MD, PROFESSIONAL CORPORATION (NPI 1316428931) is a healthcare organization registered as an internal medicine in Palm Springs, California and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Kenneth Russ, President, as its authorized official.

NPPES Registry Identity

NPI1316428931
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKENNETH RUSS MD, PROFESSIONAL CORPORATION
Location Address490 S FARRELL DR STE C106Palm Springs, CA 92262-7962
Mailing Address5 Holland Ste 101Irvine, CA 92618-2568 · (949) 588-2190
Phone(760) 416-6773
Organization SubpartNo
Authorized OfficialKenneth RussPresident · (949) 588-2190
Enumeration DateAugust 22, 2018
✔ NPI 1316428931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
490 S FARRELL DR STE C106, Palm Springs, CA 92262
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 05D2120979

Kenneth Russ, MD · Desert Hot Springs, CA
Active · expires Oct 26, 2026
CLIA Number05D2120979
Laboratory TypeTreatment Facility
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorKenneth Russ, MD
Laboratory Phone(760) 416-6773
Laboratory LocationKenneth Russ, MD7885 Annadale Ave, Desert Hot Springs, CA 92240
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR MARUPURU A PROFESSIONAL CORPORATION
Family Medicine
490 S FARRELL DR STE C106
PALM SPRINGS, CA 92262
Riverside County (760) 416-6773
SOO BORSON
Psychiatry & Neurology (Psychiatry)
490 S FARRELL DR STE C106
PALM SPRINGS, CA 92262
Riverside County (760) 416-6773

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 Kenneth Russ MD, Professional Corporation's NPI number?

The NPI number for Kenneth Russ MD, Professional Corporation is 1316428931. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Kenneth Russ MD, Professional Corporation located?

Kenneth Russ MD, Professional Corporation is located at 490 S Farrell Dr Ste C106, Palm Springs, CA 92262. The listed phone number is (760) 416-6773.

What is Kenneth Russ MD, Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Kenneth Russ MD, Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2120979) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth Russ MD, Professional Corporation was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.