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MR. ANDREW WRAY RUSS PA-C
NPI 1457895054
Physician Assistant - Medical in Redlands, CA

Active since December 15, 2016
124 E OLIVE AVE, REDLANDS, CA 92373(909) 798-9403 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Wray Russ Pa-c NPPES

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

MR. ANDREW WRAY RUSS PA-C (NPI 1457895054) is an individual medical provider in Redlands, California, licensed in California (PA53942) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1457895054
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ANDREW WRAY RUSSCredential: PA-C
Location Address124 E OLIVE AVERedlands, CA 92373-5250
Mailing Address223 Belmont CtRedlands, CA 92373-7118 · (909) 644-6420
Phone(909) 798-9403
Sole ProprietorNo
Enumeration DateDecember 15, 2016
✔ NPI 1457895054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA53942
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 01024357 (CA)
124 E OLIVE AVE, Redlands, CA 92373
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Other Providers at the Same Location NPPES 6

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

MS. BARBARA JEAN KINKLE PA-C
Physician Assistant
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 798-9403
DR. NORBERT E COLLINS MD
Plastic Surgery
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 798-9403
INGRID E TRENKLE MD INC
Dermatology (MOHS-Micrographic Surgery)
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 335-2018
REDLANDS SURGERY FACILITY
Clinic/Center (Ambulatory Surgical)
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3544
INGRID E TRENKLE MD INC
Dermatology
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 335-2018
INGRID E TRENKLE MD
Specialist
124 E OLIVE AVE
REDLANDS, CA 92373
San Bernardino County (909) 335-2018

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 Andrew Russ's NPI number?

The NPI number for Andrew Russ is 1457895054. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Andrew Russ located?

Andrew Russ practices at 124 E Olive Ave, Redlands, CA 92373. The listed phone number is (909) 798-9403.

What is Andrew Russ's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Andrew Russ was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.