MR. PHILIP RESNIKOFF PA
NPI 1073662953
Physician Assistant - Medical in San Francisco, CA

Q: What is Philip Resnikoff's NPI number?

The NPI number for Philip Resnikoff is 1073662953. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Philip Resnikoff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Philip Resnikoff was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2007PECOS Enrolled

2410 CALIFORNIA ST, SAN FRANCISCO, CA 94115(415) 529-4050(415) 291-0489 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Philip Resnikoff Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHILIP RESNIKOFF PA (NPI 1073662953) is an individual medical provider in San Francisco, California, licensed in California (PA10653) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073662953

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. PHILIP RESNIKOFFCredential: PA

Location Address2410 CALIFORNIA STSan Francisco, CA 94115-2681

Mailing Address2410 California StSan Francisco, CA 94115-2681 · (415) 529-4050 · Fax (415) 291-0489

Phone(415) 529-4050

Fax(415) 291-0489

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateOctober 1, 2014

✔ NPI 1073662953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA10653

2410 CALIFORNIA ST, San Francisco, CA 94115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Philip Resnikoff Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT JOSEPH PANDOLFE PA-C

Physician Assistant