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

Mr. Andrew Wray Russ, PA-C

Individual provider Registered Dietitian · NPI 1457895054

Mr. Andrew Wray Russ, PA-C is a Registered Dietitian in Redlands, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

124 E Olive Ave
Redlands, CA 92373-5250
Phone: (909) 798-9403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA53942 (CA)
Registered Dietitian Taxonomy 133V00000X · Licence 01024357 (CA)

Record details

NPI number1457895054
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2016
Last updated in NPPESDecember 15, 2016

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