Philip Resnikoff, PA
Physician Assistant, Medical in San Francisco, CA. Individual provider (NPI-1).
NPI number1073662953
StatusActive
Last updated in NPPESOct 1, 2014
Details
- NPI
- 1073662953
- Entity type
- Individual (NPI-1)
- Name
- Mr. Philip Resnikoff
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Oct 1, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA10653 | CA | Yes |
Practice location
2410 California StSan Francisco, CA 94115-2681
Phone 415-529-4050 · Fax 415-291-0489
Mailing address
2410 California StSan Francisco, CA 94115-2681
Phone 415-529-4050 · Fax 415-291-0489
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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