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

Russell G. Hisscock, DO

Individual provider Family Medicine Physician · NPI 1821103854

Russell G. Hisscock, DO is a Family Practice in Palm Springs, California. Qualified in 1996, 30 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, California and Washington.

Years since qualifying
30
Licensed in
AZ, CA, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232
Phone: (760) 834-7930
Fax: (760) 834-7931
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A10268 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4374 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence OP60690694 (WA)

Record details

NPI number1821103854
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESOctober 22, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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