Russell D Dedini
Foot and Ankle Orthopaedic Surgeon
77 N San Mateo Dr
San Mateo
, California 94401-2889
Russell D Dedini
Foot and Ankle Orthopaedic Surgeon
77 N San Mateo Dr
San Mateo
, California 94401-2889
(650) 342-0854
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Russell D Dedini
- 77 N San Mateo Dr
- San Mateo, CA
- Zip : 94401-2889
- Phone : (650) 342-0854
Second Address
- Russell D Dedini
- 77 N San Mateo Dr
- San Mateo, CA
- Zip : 94401-2889
- Phone : (650) 342-0854
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A110297 | CA |
National Provider Identifier
| NPI | 1528396579 |
|---|---|
| Provider Name | Russell D Dedini |
| First Address | San Mateo, CA 94401-2889 |
| Second Address | San Mateo, CA 94401-2889 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2009 |
| Last Update Date | 10/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1528396579 | NPI (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.