LAURA A. RUSSELL (M.D.) – Anesthesiology Physician, NPI 1508840919

LAURA A. RUSSELL (M.D.) is a healthcare provider. based in Santa ana, California. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. G61396 (CA). The NPI Number for LAURA A. RUSSELL (M.D.) is 1508840919

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
LAURA A. RUSSELL (M.D.)
NPI
1508840919
Phone
(714) 347-1000
Address
210 N TUSTIN AVE
Enumeration Date
30 November 2005
Last Update Date
16 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
5624919350
Graduation Year
1986 (40 years ago)
PAC ID
7315975554
Group Practice PAC ID
6406049592
Professional Enrollment ID
I20050729000456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LAURA A. RUSSELL (M.D.)

  • 210, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States

    SANTA ANA, CA 927053807

    Phone: (714) 347-1000

    Fax: (714) 647-1245

    Type: Mailing

  • Saint Mary Medical Center Long Beach, 1050, Linden Avenue, Long Beach, Los Angeles County, California, 90813, United States

    LONG BEACH, CA 90813

    Phone: (562) 491-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050729000456IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406049592View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do I look up LAURA A. RUSSELL (M.D.) by NPI?
Use NPI 1508840919 when you need to reference LAURA A. RUSSELL (M.D.) in forms, claims, or directories.
Is LAURA A. RUSSELL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LAURA A. RUSSELL (M.D.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for LAURA A. RUSSELL (M.D.). Clinical services aligned with this taxonomy classification.
Where is LAURA A. RUSSELL (M.D.)'s primary listing?
We display Santa Ana, California because that is what the record indicates for LAURA A. RUSSELL (M.D.).
How can I contact LAURA A. RUSSELL (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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