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

Russell De Jong, MD

Individual provider General Practice Physician · NPI 1205468634

Russell De Jong, MD is a General Practice Physician in San Diego, California. Licensed in California and Nebraska. Registered with an NPI since 2020.

Licensed in
CA, NE
In the registry since
2020
Specialties on file
2
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

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 576-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A207835 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 33801 (NE)

Record details

NPI number1205468634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

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