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

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1730119074

Russell Sean Petrie, MD is an Orthopedic Surgery in Newport Beach, California. Graduated from Mayo Medical School in 1993, 33 years ago. Practices with Orthopedic Institute of Newport Beach Limited Partnership, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Mayo Medical School
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

22 Corporate Plaza Dr
Newport Beach, CA 92660-7901
Phone: (949) 722-7038
Fax: (949) 630-4935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence G85402 (CA)

Record details

NPI number1730119074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice Orthopedic Institute Of Newport Beach Limited Partnership — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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