Active NPI
Pamela M. Resnikoff
- Pulmonary Disease Physician
- San Diego, CA
National Provider Identifier
1124218508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G80358
- Legal business name
- PAMELA M. RESNIKOFF
- Practice address
- 4077 Fifth Ave
San Diego, CA 92103-2105 - Phone
- (619) 294-8111
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Sue Miller
- Title
- Medical Biller
- Phone
- (619) 299-2570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G80358 | CA | Primary |
Addresses
Primary practice location
4077 Fifth Ave
San Diego, CA 92103-2105
Mailing address
4033 3Rd Ave
300
San Diego, CA 92103-2117
Phone (619) 299-2570
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1841252533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185840000000",
"number": "1124218508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 3RD AVE",
"address_2": "300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032117",
"telephone_number": "619-299-2570",
"fax_number": "619-294-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 FIFTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032105",
"telephone_number": "619-294-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA M. RESNIKOFF",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "619-299-2570",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G80358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.