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

Russell Leslie Blackburn, MD

Individual provider Family Medicine Physician · NPI 1265448716

Russell Leslie Blackburn, MD is a Family Medicine Physician in Hayward, California. Licensed in California. Registered with an NPI since 2006.

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

21297 Foothill Blvd Ste 201
Hayward, CA 94541-1554
Phone: (510) 538-4636
Fax: (510) 538-1615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A31946 (CA)

Record details

NPI number1265448716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007

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