Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. CHARLOTTE MARIE RUSSELL RNP
NPI 1780636555
Nurse Practitioner - Family in Costa Mesa, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since May 17, 2006

2501 HARBOR BLVD, COSTA MESA, CA 92626(714) 957-5000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Charlotte Marie Russell Rnp NPPES

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

MRS. CHARLOTTE MARIE RUSSELL RNP (NPI 1780636555) is an individual family provider in Costa Mesa, California, licensed in California (335200) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780636555

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHARLOTTE MARIE RUSSELLCredential: RNP

Location Address2501 HARBOR BLVDCosta Mesa, CA 92626-6143

Mailing Address1600 9th Street, Room 205 Mailstop 2 3Sacramento, CA 95814-6414 · (916) 654-2431 · Fax (916) 654-3186

Phone(714) 957-5000

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1780636555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 335200

2501 HARBOR BLVD, Costa Mesa, CA 92626

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Other Identifiers 1

OtherZZZ177992Pin

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.

DR. THANHTUYEN DO MD

Physical Medicine & Rehabilitation

2501 HARBOR BLVD, DEPARTMENT OF OEHS DIRECTOR, DR. DO
COSTA MESA, CA 92626

Orange County (714) 957-5187

MICHAEL KAO M.D.

Family Medicine