SANDRA GERALDINE RUSSO RD
NPI 1467657767
Dietitian, Registered - Nutrition, Metabolic in Long Beach, CA

Active since June 18, 2007
2925 PALO VERDE AVE, LONG BEACH, CA 90815(562) 429-2473(562) 496-5577 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Geraldine Russo Rd NPPES

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

SANDRA GERALDINE RUSSO RD (NPI 1467657767) is an individual nutrition, metabolic provider in Long Beach, California, licensed in California (838417) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1467657767
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameSANDRA GERALDINE RUSSOCredential: RD
Location Address2925 PALO VERDE AVELong Beach, CA 90815-1552
Mailing Address2925 Palo Verde AveLong Beach, CA 90815-1552 · (562) 429-2473
Fax(562) 496-5577
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 26, 2008
NPI 1467657767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License Licensed in CA · 838417
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
2925 PALO VERDE AVE, Long Beach, CA 90815

Other Identifiers 1

Other8381417CA · Cdr

Other Providers at the Same Location NPPES 16

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

Internal Medicine
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Dietitian, Registered
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Ophthalmology
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Optometrist
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Audiologist-Hearing Aid Fitter
2925 PALO VERDE AVE, 2ND FLOOR
LONG BEACH, CA 90815
Dietitian, Registered
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Internal Medicine
2925 PALO VERDE AVE
LONG BEACH, CA 90815
Optometrist
2925 PALO VERDE AVE
LONG BEACH, CA 90815

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 Sandra Russo's NPI number?

The NPI number for Sandra Russo is 1467657767. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Sandra Russo located?

Sandra Russo practices at 2925 Palo Verde Ave, Long Beach, CA 90815. The listed phone number is (562) 429-2473.

What is Sandra Russo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Sandra Russo was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.