Russell Grootegoed, DPM
NPI 1194767921 · Foot & Ankle Surgery Podiatrist · San Pedro, CA
Russell Grootegoed, DPM is a Foot & Ankle Surgery Podiatrist provider in San Pedro, CA (NPI 1194767921).
Provider details
- NPI number
- 1194767921
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E2064 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2008-04-11
Frequently asked questions
- What is Russell Grootegoed's NPI number?
- Russell Grootegoed's National Provider Identifier (NPI) is 1194767921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Grootegoed's specialty?
- Russell Grootegoed is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Russell Grootegoed located?
- Russell Grootegoed's practice location on file with NPPES is 601 W 9th St, San Pedro, CA 90731-3107.
- What is Russell Grootegoed's phone number?
- The practice phone number listed in the NPPES registry for Russell Grootegoed is (310) 833-3583.
- Is Russell Grootegoed's NPI active?
- Yes — Russell Grootegoed's NPI (1194767921) is active in the NPPES registry as of the last update on 2008-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.