Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrey Ivanovich Sidorenko, PA-C, DMSC

Individual provider Physician Assistant · NPI 1548576754

Andrey Ivanovich Sidorenko, PA-C, DMSC is a Physician Assistant in Fresno, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

2615 E Clinton Ave
Fresno, CA 93703-2223
Phone: (559) 225-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 21131 (CA)

Record details

NPI number1548576754
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , DMSC
Sole proprietorNo
NPI enumeratedAugust 25, 2010
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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