Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexei Ivanovich Pouzakov, PA-C

Individual provider Physician Assistant · NPI 1700182672

Alexei Ivanovich Pouzakov, PA-C is a Physician Assistant in Fresno, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-3770
Fax: (559) 459-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA21289 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA21289 (CA)

Record details

NPI number1700182672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2011
Last updated in NPPESJuly 10, 2012

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