Russell E. Niles
Gynecologist
3000 Q St
Sacramento
, California 95816-7058
Russell E. Niles
Gynecologist
3000 Q St
Sacramento
, California 95816-7058
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Russell E. Niles
- 3400 Data Dr
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Russell E. Niles
- 3000 Q St
- Sacramento, CA
- Zip : 95816-7058
- Fax : (916) 733-5385
- Phone : (916) 733-5336
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | G32453 | CA |
National Provider Identifier
| NPI | 1023022696 |
|---|---|
| Provider Name | Russell E. Niles |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | Sacramento, CA 95816-7058 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 10/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000810354304 | PHCS (01) | CA |
| 00G324530 | (05) | CA |
| 012413 | HEALTH NET (01) | CA |
| 1211321 | GREAT WEST (01) | CA |
| 14028 | INTERPLAN (01) | CA |
| 216368 | UNITED HEALTHCARE (01) | CA |
| 4054751 | AETNA (01) | CA |
| 4364920 | CIGNA (01) | CA |
| 4812 | FIRST HEALTH (01) | CA |
| 90018849 | PACIFICARE (01) | CA |
| A45155 | (02) | |
| G62453 | BLUE CROSS (01) | CA |
| MCMG170800 | WESTERN HEALTH ADVANTAGE (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.