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Russell Lee Garner

General Practice β€’ Pearl Harbor, HI

Active NPI 1295585271 Individual Practitioner Male Practitioner
Practice location in NPPES

480 Central Ave
Pearl Harbor, HI 968604908

Call 8084963365 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Pearl Harbor, HI 968604908

Telephone 8084963365
Organization at the Same NPPES Address or Phone
U.s. Navy Facility NPI 1932182052

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pearl Harbor and Hawaii

7 active clinicians are listed under General Practice with a practice address in Pearl Harbor, HI (171 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101286694

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Melissa Carter , PsyD

Psychologist - Clinical

NPI 1538326467

Doctor of Psychology (Psy.D.)

Joan Eula Conde , RN

Registered Nurse

NPI 1538450473

Registered Nurse

Dr. Stefania Dimofte , MD

Obstetrics & Gynecology

NPI 1639296858

Doctor of Medicine (M.D.)

NPI 1396192878

Doctor of Optometry

Dr. Anne Lamb , DMD

Dentist - General Practice

NPI 1255763645

Doctor of Dental Medicine

NPI 1235224635

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 07, 2026

Registered at 480 CENTRAL AVE, PEARL HARBOR, HI 968604908 (Tel: 8084963365)

πŸ“
Updated Business Mailing Address April 07, 2026

Registered at PO BOX 64006, MCBH KANEOHE BAY, HI 968634000 (Tel: 8084963365)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

General Practice (license number reported to NPPES: VA 0101286694)

πŸ“
Updated Practice Location February 27, 2026

Registered at 6905 HARRIS AVENUE, KAILUA, HI 96734 (Tel: 8082573365)

πŸ“
Updated Business Mailing Address February 27, 2026

Registered at 6905 HARRIS AVENUE, KAILUA, HI 96734 (Tel: 8082573365)

βœ…
NPI Profile Active March 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 5017657783)

πŸ“
Business Mailing Address (Initial Record) March 25, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 5017657783)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2024

Recorded as RUSSELL GARNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration March 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295585271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2024
Last Update: April 07, 2026
Sole Proprietor: No

Mailing Address

Po Box 64006

Mcbh Kaneohe Bay, HI 968634000

Phone: 8084963365

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.