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

Andrey Maksimtsov, PA-C

Individual provider Medical Physician Assistant · NPI 1578248589

Andrey Maksimtsov, PA-C is a Medical Physician Assistant in Stockton, California. Licensed in California and North Carolina. Registered with an NPI since 2023.

Licensed in
CA, NC
In the registry since
2023
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

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 943-2000
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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 PA64335 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-13321 (NC)

Record details

NPI number1578248589
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

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