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

Michael David Russell, MD, MBA, MPH

Individual provider Pediatric Orthopaedic Surgery Physician · NPI 1710484472

Michael David Russell, MD, MBA, MPH is a Pediatric Medicine in Santa Monica, California. Qualified in 2018, 8 years ago. Works from 4 locations. Licensed in California and Texas.

Years since qualifying
8
Licensed in
CA, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone: (310) 319-3475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 — (310) 319-1234
  • 1250 16th St Ste 2100, Santa Monica, CA 90404-1249 — (310) 319-1234
  • 4102 24th St Ste 506, Lubbock, TX 79410-1805 — (806) 725-7980

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X · Licence W6372 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A185250 (CA)

Record details

NPI number1710484472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA , MPH
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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