KRISTA RUSSO PA-C
NPI 1922471192
Physician Assistant - Medical in Temecula, CA
About Krista Russo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTA RUSSO PA-C (NPI 1922471192) is an individual medical provider in Temecula, California, licensed in California (53036) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Krista Russo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TEMECULA, CA 92590
TEMECULA, CA 92590
TEMECULA, CA 92590
TEMECULA, CA 92590
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 Krista Russo's NPI number?
The NPI number for Krista Russo is 1922471192. It was assigned to this individual provider in the NPPES registry on November 9, 2015.
Where is Krista Russo located?
Krista Russo practices at 41715 Winchester Rd 101, Temecula, CA 92590. The listed phone number is (951) 308-4451.
What is Krista Russo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Krista Russo enrolled in Medicare?
Yes. Krista Russo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Krista Russo was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Krista Russo, PA-C · NPI 1922471192
Medical physician in Temecula, California. Individual provider, active in the CMS NPPES registry since November 9, 2015.
## Identity
- **NPI:** 1922471192 (Entity type: Individual)
- **Enumerated:** November 9, 2015
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 53036 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 41715 WINCHESTER RD, 101, Temecula, CA 92590-4808
- **Phone:** (951) 308-4451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1922471192) · Data from the CMS NPPES public registry.