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MR. RUSSELL PAUL DUNNUM M.D.
NPI 1396856290
Specialist in San Diego, CA

Active since August 31, 2006
4510 EXECUTIVE DR, SUITE 107, SAN DIEGO, CA 92121(858) 457-4717(858) 457-0470 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell Paul Dunnum M.d. NPPES

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

MR. RUSSELL PAUL DUNNUM M.D. (NPI 1396856290) is an individual specialist in San Diego, California, licensed in California (G54999) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396856290
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. RUSSELL PAUL DUNNUMCredential: M.D.
Location Address4510 EXECUTIVE DR, SUITE 107San Diego, CA 92121-3021
Mailing Address4510 Executive Dr, Suite 107San Diego, CA 92121-3021 · (858) 457-4717 · Fax (858) 457-0470
Phone(858) 457-4717
Fax(858) 457-0470
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 5, 2014
✔ NPI 1396856290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G54999
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4510 EXECUTIVE DR, San Diego, CA 92121
Open in Google Maps ↗

Other Identifiers 3

MedicaidOOG549990CA
Medicare ID-Type UnspecifiedBDG5499CA
Medicare UPINB57973CA

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.

DR. TODD BENJAMIN PLUTCHOK D.C.
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888
KHRIZNA CHONG MSN, RN, CNS
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-7729
MS. SHARON ESTERS-THAMES RN
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 450-5000
MISS KERI ANNE O'CONNOR NP
Nurse Practitioner (Family)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-5085
DAVID A LEPAY M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
San Diego County (858) 550-3850
LISA GUERTIN NP
Nurse Practitioner (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
MANISH V SHETH MD
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
San Diego County (858) 427-5060
DR. CHAD MICHAEL WELLS D.C.
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888

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 Dunnum's NPI number?

The NPI number for Russell Dunnum is 1396856290. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Russell Dunnum located?

Russell Dunnum practices at 4510 Executive Dr Suite 107, San Diego, CA 92121. The listed phone number is (858) 457-4717.

What is Russell Dunnum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Russell Dunnum was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.