1. Home
  2. Directory
  3. California
  4. Palm Desert
  5. Family Medicine
  6. NPI Profile

KENNETH CARL RUSS MD INC
NPI 1760334312
Family Medicine - Addiction Medicine in Palm Desert, CA

Active since February 13, 2026
36917 COOK ST STE 103, PALM DESERT, CA 92211(760) 835-0425 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Carl Russ Md Inc NPPES

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

KENNETH CARL RUSS MD INC (NPI 1760334312) is a healthcare organization registered as an addiction medicine in Palm Desert, California and active in the NPI registry since February 2026. The organization lists Kenneth C Russ, Owner, as its authorized official.

NPPES Registry Identity

NPI1760334312
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameKENNETH CARL RUSS MD INC
Location Address36917 COOK ST STE 103Palm Desert, CA 92211-6072
Mailing Address5 Holland Ste 101Irvine, CA 92618-2568 · (949) 588-2190 · Fax (949) 588-2199
Phone(760) 835-0425
Organization SubpartNo
Authorized OfficialKenneth C RussOwner · (949) 588-2190
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1760334312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
36917 COOK ST STE 103, Palm Desert, CA 92211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kenneth Carl Russ MD Inc's NPI number?

The NPI number for Kenneth Carl Russ MD Inc is 1760334312. It was assigned to this organization in the NPPES registry on February 13, 2026.

Where is Kenneth Carl Russ MD Inc located?

Kenneth Carl Russ MD Inc is located at 36917 Cook St Ste 103, Palm Desert, CA 92211. The listed phone number is (760) 835-0425.

What is Kenneth Carl Russ MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Kenneth Carl Russ MD Inc was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.