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TARA ANASTASIA RUSSELL MD, MPH
NPI 1982047635
Surgery in Los Angeles, CA

Active since April 12, 2013PECOS Enrolled
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095(310) 794-7788 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Oct 14, 2022, Apr 7, 2021 and 1 more (4 updates tracked since 2015).

About Tara Anastasia Russell Md, Mph NPPES

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

TARA ANASTASIA RUSSELL MD, MPH (NPI 1982047635) is an individual surgery provider in Los Angeles, California, licensed in California (A136212) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982047635
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameTARA ANASTASIA RUSSELLCredential: MD, MPH
Location Address200 UCLA MEDICAL PLZ STE 214Los Angeles, CA 90095-3955
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 794-7788
Sole ProprietorNo
Enumeration DateApril 12, 2013
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
✔ NPI 1982047635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A136212
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License A136212 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 UCLA MEDICAL PLZ STE 214, Los Angeles, CA 90095
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Secondary Practice Locations 2

Location 110940 Wilshire Blvd Ste 710Los Angeles, CA 90024-3955 · Phone (310) 794-2904
Location 29500 Euclid Ave # Na-23Cleveland, OH 44195-3955 · Phone (216) 444-2200

Other Identifiers 1

OtherA136212CA · California State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Anastasia Russell Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DR. CATHERINE JEANNE JUILLARD M.D.
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788
TIMOTHY RYAN DONAHUE M.D.
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788
SAMER SAMIR MORCOS EBAID
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 825-1645
DR. KEVORK KAZANJIAN M.D.
Colon & Rectal Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 206-0585
MS. CHRISTINE GOUKASIAN MS, RD
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788
ANGIE WU HUANG RDN
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788
SABRINAH ARIANE CHRISTIE
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788
SIMON WILLIAM BEAVEN MD
Internal Medicine
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7788

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 Tara Russell's NPI number?

The NPI number for Tara Russell is 1982047635. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Tara Russell located?

Tara Russell practices at 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095. The listed phone number is (310) 794-7788.

What is Tara Russell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tara Russell enrolled in Medicare?

Yes. Tara Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Russell was last updated on March 7, 2023. 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.