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

Russell Spadaro, MD

Individual provider Pediatrics Physician · NPI 1619948445

Russell Spadaro, MD is a Pediatrics Physician in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.

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

2125 E Thousand Oaks Blvd # B-1
Thousand Oaks, CA 91362-2942
Phone: (805) 493-1964
Fax: (805) 492-0614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G55882 (CA)

Record details

NPI number1619948445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESAugust 24, 2022
Certification dateAugust 8, 2022
Mailing address2125 E Thousand Oaks Blvd # B-1, Thousand Oaks, CA 91362-2942

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