Individual provider Active NPI

Pamela Resnikoff, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1841252533
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G80358 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G803580MedicaidCA

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
I20090710000485 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537211297 Reassigns benefits to 4 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Harvard Medical School, 1990
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

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

LicenseStateTypeSpecialty
G80358CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Mar 19, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation Single Specialty CurrentSince Feb 12, 2011 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 CurrentSince Aug 10, 2009 Accepting new patients
Scripps Health Single Specialty CurrentSince Aug 10, 2009 Accepting new patients
Scripps Health Single Specialty Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. Single Specialty CurrentSince May 21, 2014 Accepting new patients
Scripps Health Single Specialty Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 19, 2019 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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.