Active NPI
Pamela Resnikoff, M.D.
- Pulmonary Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G80358
- Practice address
- 501 Washington St Ste 725
San Diego, CA 92103-2241 - Phone
- (619) 299-2570
- Fax
- (619) 299-2216
- NPI assigned
- Apr 6, 2006
- Last updated
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G80358 | CA | |
| Pulmonary Disease Physician | 207RP1001X | G80358 | CA | Primary |
Addresses
Primary practice location
501 Washington St Ste 725
San Diego, CA 92103-2241
Mailing address
PO Box 87729
San Diego, CA 92138-7729
Phone (619) 285-5990
Other practice location 1
4077 Fifth Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G803580 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Harvard Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80358 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Single Specialty | Current | Accepting new patients |
| Scripps Health | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Single Specialty | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Single Specialty | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Single Specialty | Current | Accepting new patients |
| Scripps Health | Single Specialty | Current | Accepting new patients |
| Scripps Health Inpatient Providers Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| Scripps Health | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Single Specialty | Current | Accepting new patients |
| Pamela M. Resnikoff | Pulmonary Disease | Past | Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545
501 Washington St
Ste 725
San Diego, CA 92103
Phone (619) 298-6701
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Interoperability endpoints
- presnikoff19066@scrippshlth.medalliesdirect.net
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
Single Specialty
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Single Specialty
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
Single Specialty
-
dba Scripps Clinic
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
Single Specialty
-
dba Rice Family Health Center
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1083959464
Single Specialty
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1528331287
Single Specialty
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba KidCare Express II
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1871524363
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Cardiovascular and Thoracic Surgery Center
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- La Jolla, CA
- NPI 1619108503
Single Specialty
-
dba Scripps Mercy Hospital
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
Single Specialty
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": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1841252533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87729",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921387729",
"telephone_number": "619-285-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST STE 725",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032241",
"telephone_number": "619-299-2570",
"fax_number": "619-299-2216"
}
],
"practiceLocations": [
{
"address_1": "4077 Fifth Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032105",
"country_code": "US",
"telephone_number": "619-294-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESNIKOFF",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G80358",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G80358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G803580",
"state": "CA"
}
],
"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 Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.