Russel Dasalla, DMD
NPI 1336524305 · General Practice Dentistry · San Fernando, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russel Dasalla, DMD is a General Practice Dentistry provider in San Fernando, CA (NPI 1336524305).
Provider details
- NPI number
- 1336524305
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 64643 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2015-07-20
- Last updated
- 2015-07-20
Frequently asked questions
- What is Russel Dasalla's NPI number?
- Russel Dasalla's National Provider Identifier (NPI) is 1336524305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russel Dasalla's specialty?
- Russel Dasalla is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Russel Dasalla located?
- Russel Dasalla's practice location on file with NPPES is 12898 Adelphia Ave, San Fernando, CA 91340-1047.
- What is Russel Dasalla's phone number?
- The practice phone number listed in the NPPES registry for Russel Dasalla is (818) 350-3212.
- Does Russel Dasalla accept Medicare?
- Russel Dasalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russel Dasalla's NPI active?
- Yes — Russel Dasalla's NPI (1336524305) is active in the NPPES registry as of the last update on 2015-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.