JOSEPH RESNIKOFF, M.D., F.C.C.P. (NPI# 1437170693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437170693 |
| Entity Type | Organization |
| Organization Name | JOSEPH RESNIKOFF, M.D., F.C.C.P. |
| Practice Address |
4033 3rd Ave Ste 300 San Diego CA 92103-2138 |
| Practice Telephone | 6192992570 |
| Practice Fax Number | 6192942738 |
| Mailing Telephone | 6192992570 |
| Mailing Fax Number | 6192942738 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELISSA SUE MILLER (MEDICAL BILLER) |
| Authorized Official Telephone | 6192992570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G81283 | CA | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G81283 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G812830 | 05 |
| Street Address |
4033 3RD AVE STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922263714 | San Diego Pulmonary and Critical Care Medical Group Inc. | Internal Medicine | 4033 3rd Ave Ste 300, San Diego, CA 92103-2138 | 2008-07-22 |
| 1760532949 | Christopher M Stafford M.d. | Internal Medicine | 4033 3rd Ave Ste 300, San Diego, CA 92103-2138 | 2007-01-11 |
| 1649320821 | Frank T Grassi M.d. | Internal Medicine | 4033 3rd Ave Ste 300, San Diego, CA 92103-2138 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1730333014 | Ashish Agrawal Md Inc | Internal Medicine | 4020 Eagle St, San Diego, CA 92103-1917 | 2008-11-12 |
| 1780797381 | Huan A. Le | Internal Medicine | 5507 El Cajon Blvd #c, San Diego, CA 92115 | 2006-08-16 |
| 1659339745 | Smita A Desai | Internal Medicine | 200 W. Arbor Drive, #8373, San Diego, CA 92103-8373 | 2006-05-01 |
| 1598732604 | Houman Dahi | Internal Medicine | 501 Washington St Ste 508, San Diego, CA 92103-2231 | 2006-03-07 |
| 1427028927 | Tony S Han | Internal Medicine | 12373 Grandee Rd, San Diego, CA 92128-2161 | 2006-01-25 |
| 1841292521 | Chest Medicine and Critical Care Medical Group, Inc. | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-12 |
| 1447886239 | Lung and Sleep Medicine Consultants, Inc. | Internal Medicine | 6655 Alvarado Rd, San Diego, CA 92120-5208 | 2020-03-12 |
| 1699317644 | Avicenna Critical Care, PC | Internal Medicine | 1940 El Cajon Blvd, San Diego, CA 92104-1005 | 2019-10-10 |
| 1578974259 | Michael Tun Yin Lam | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-05-15 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.