Individual provider · Type 1 NPI

Andrey Ivanovich Sidorenko, PA-C, DMSC

Physician Assistant · Fresno, CA

NPI number 1548576754 Active

Practice location

2615 E Clinton Ave
Fresno, CA 93703-2223

Call (559) 225-6100 Map

Mailing address

Cmr 467 Box 5991
Apo, AE 09096-1060

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X21131 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1548576754

Andrey Ivanovich Sidorenko, PA-C, DMSC's National Provider Identifier is 1548576754, issued on Aug 25, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fresno, CA. The record was last updated on Jun 30, 2025.