Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lorena Bischoff Russo, MD

Individual provider Family Medicine Physician · NPI 1306959390

Dr. Lorena Bischoff Russo, MD is a Family Practice in Capitola, California. Graduated from Wayne State University School of Medicine in 1993, 33 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1820 41st Ave Ste C
Capitola, CA 95010-2516
Phone: (831) 686-7611
Fax: (831) 477-2009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Locust St, Santa Cruz, CA 95060 — (831) 427-3500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G81050 (CA)

Record details

NPI number1306959390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESSeptember 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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