DAVID JULIUS RUSSELL D.O.
NPI 1659635134
Obstetrics & Gynecology in Stockton, CA

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
1617 N CALIFORNIA ST, STE. 2F, STOCKTON, CA 95204(209) 466-8546(209) 466-3335 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Julius Russell D.o. NPPES

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

DAVID JULIUS RUSSELL D.O. (NPI 1659635134) is an individual obstetrics & gynecology provider in Stockton, California, licensed in California (20A14817) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1659635134
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDAVID JULIUS RUSSELLCredential: D.O.
Location Address1617 N CALIFORNIA ST, STE. 2FStockton, CA 95204-6117
Mailing AddressPo Box 1090Lodi, CA 95241-1090 · (209) 334-1800
Fax(209) 466-3335
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2012
Enumeration DateJune 28, 2012
Last NPPES UpdateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1659635134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · 20A14817
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1617 N CALIFORNIA ST, Stockton, CA 95204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Julius Russell D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022302512
PECOS Enrollment IDI20160805001313, I20251010000210
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
1617 N CALIFORNIA ST, SUITE 1A
STOCKTON, CA 95204
Dietitian, Registered
1617 N CALIFORNIA ST, SUITE 2G
STOCKTON, CA 95204
Obstetrics & Gynecology
1617 N CALIFORNIA ST, SUITE 2-A
STOCKTON, CA 95204
Obstetrics & Gynecology
1617 N CALIFORNIA ST, STE 2A
STOCKTON, CA 95204
Specialist
1617 N CALIFORNIA ST, STE 1A
STOCKTON, CA 95204
Pharmacist
1617 N CALIFORNIA ST
STOCKTON, CA 95204
Surgery (Vascular Surgery)
1617 N CALIFORNIA ST, SUITE 1D
STOCKTON, CA 95204
Obstetrics & Gynecology
1617 N CALIFORNIA ST, STE 2B
STOCKTON, CA 95204

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 David Russell's NPI number?

The NPI number for David Russell is 1659635134. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is David Russell located?

David Russell practices at 1617 N California St Ste. 2F, Stockton, CA 95204. The listed phone number is (209) 466-8546.

What is David Russell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is David Russell enrolled in Medicare?

Yes. David Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Russell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list David Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Russell was last updated on September 16, 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.