Active NPI
Reznik Medical Group
- Internal Medicine Physician
- National City, CA
National Provider Identifier
1659873842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- REZNIK MEDICAL GROUP
- Practice address
- 220 E 24TH St
National City, CA 91950-6705 - Phone
- (619) 370-2748
- NPI assigned
- Mar 2, 2018
- Last updated
- Mar 2, 2018
- 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
- Dr. Yuri Reznik, MD
- Title
- Owner
- Phone
- (619) 370-2748
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
220 E 24TH St
National City, CA 91950-6705
Mailing address
682 Chapel Hill Dr
Chula Vista, CA 91914-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1013658277
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- Hospitalist Physician
- San Diego, CA
- NPI 1871618207
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- Nurse Practitioner
- San Diego, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519948800000",
"number": "1659873842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 CHAPEL HILL DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E 24TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919506705",
"telephone_number": "619-370-2748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REZNIK MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A",
"authorized_official_last_name": "REZNIK",
"authorized_official_first_name": "YURI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-370-2748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.