Individual provider Active NPI

Joseph Robert Resnikoff, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1730193996
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G81283 Issued in CA
Practice address
501 Washington St Ste 508
San Diego, CA 92103-2231
Phone
(619) 299-2570
Fax
(619) 294-2738
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G81283 CA
Pulmonary Disease Physician 207RP1001X G81283 CA Primary

Addresses

Primary practice location

501 Washington St Ste 508
San Diego, CA 92103-2231

Mailing address

501 Washington St Suite 501
San Diego, CA 92103-2294
Phone (619) 299-2570

Other identifiers 1

IdentifierTypeStateIssuer
00G812830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000623 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800951005 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. Critical Care Medicine CurrentSince Jul 4, 2017 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 3, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Joseph Resnikoff, M.D., F.C.C.P. Critical Care Medicine PastSince Jan 1, 1990 Accepting new patients
Scripps Health Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

501 Washington St
Ste 725
San Diego, CA 92103
Phone (619) 298-6701

501 Washington St
Ste 501
San Diego, CA 92103

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

501 Washington St
Ste 508
San Diego, CA 92103
Phone (619) 849-4469

Interoperability endpoints

  • Direct secure messaging: jresnikoff28329@scrippshlth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1730193996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST SUITE 501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032294",
            "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": "501 WASHINGTON ST STE 508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032231",
            "telephone_number": "619-299-2570",
            "fax_number": "619-294-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNIKOFF",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G81283",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G81283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G812830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.