OrganizationActive
Russell A. Grootegoed DPM
NPI 1720261118 · Prosthetic/Orthotic Supplier · San Pedro, CA
Russell A. Grootegoed DPM is a Prosthetic/Orthotic Supplier organization in San Pedro, CA (NPI 1720261118).
Provider details
- NPI number
- 1720261118
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Russell Grootegoed, Podiatrist(310) 833-3583
- License
- E2064 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
601 W 9th St
San Pedro, CA 90731-3107
Phone: (310) 833-3583
Street-level locationGet directions
Mailing address
601 W 9th St
San Pedro, CA 90731-3107
Registry dates
- Enumerated
- 2007-12-09
- Last updated
- 2008-04-20
Frequently asked questions
- What is Russell A. Grootegoed DPM's NPI number?
- Russell A. Grootegoed DPM's National Provider Identifier (NPI) is 1720261118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russell A. Grootegoed DPM?
- Russell A. Grootegoed DPM is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Russell A. Grootegoed DPM located?
- Russell A. Grootegoed DPM's practice location on file with NPPES is 601 W 9th St, San Pedro, CA 90731-3107.
- What is Russell A. Grootegoed DPM's phone number?
- The practice phone number listed in the NPPES registry for Russell A. Grootegoed DPM is (310) 833-3583.
- Who is the authorized official for Russell A. Grootegoed DPM?
- The authorized official listed on Russell A. Grootegoed DPM's NPPES record is Russell Grootegoed, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russell A. Grootegoed DPM's NPI active?
- Yes — Russell A. Grootegoed DPM's NPI (1720261118) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.