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

Samantha K Russo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710514526

Samantha K Russo, MD is a Family Practice in Riverside, California. Graduated from University of California, San Diego School of Medicine in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
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

7117 Brockton Ave
Riverside, CA 92506-2658
Phone: (951) 782-3789
Fax: (951) 784-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4445 Magnolia Ave, Riverside, CA 92501-4135 — (951) 788-3176

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A183868 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710514526
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 27, 2025
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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