RUSSELL SPADARO M.D.
NPI 1619948445
Pediatrics in Thousand Oaks, CA

Active since January 30, 2006
2125 E THOUSAND OAKS BLVD # B-1, THOUSAND OAKS, CA 91362(805) 493-1964(805) 492-0614 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Spadaro M.d. NPPES

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

RUSSELL SPADARO M.D. (NPI 1619948445) is an individual pediatrics provider in Thousand Oaks, California, licensed in California (G55882) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1619948445
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRUSSELL SPADAROCredential: M.D.
Location Address2125 E THOUSAND OAKS BLVD # B-1Thousand Oaks, CA 91362-2942
Mailing Address2125 E Thousand Oaks Blvd # B-1Thousand Oaks, CA 91362-2942 · (805) 493-1964 · Fax (805) 241-5382
Fax(805) 492-0614
Sole ProprietorYes
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 8, 2022
NPI 1619948445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · G55882
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2125 E THOUSAND OAKS BLVD # B-1, Thousand Oaks, CA 91362

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 Spadaro's NPI number?

The NPI number for Russell Spadaro is 1619948445. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Russell Spadaro located?

Russell Spadaro practices at 2125 E Thousand Oaks Blvd # B-1, Thousand Oaks, CA 91362. The listed phone number is (805) 493-1964.

What is Russell Spadaro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Russell Spadaro was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.