DR. SIDNEY MARK FISHMAN MD NPI 1417953043

NPI Information

NPI: 1417953043
Provider Name: DR. SIDNEY MARK FISHMAN, MD
Classification: Otolaryngology - 207YX0602X
Entity Type: Individual

Specialization: Otolaryngic Allergy

PECOS Registration: Yes

Address:
3801 KATELLA AVE
STE 425
LOS ALAMITOS, CA
ZIP 90720
Phone: (562) 596-2925
Get Directions

DR. Sidney Mark Fishman, MD is an otolaryngic allergy otolaryngology in Los Alamitos, CA. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. DR. Sidney Mark Fishman, MD NPI is 1417953043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 KATELLA AVE
STE 425
LOS ALAMITOS, CA
ZIP 90720-901
Phone: (562) 596-2925
Fax: (562) 596-5703

The NPI 1417953043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 4/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YP0228X	Otolaryngology	Pediatric Otolaryngology	AF7229455	CALIFORNIA	No
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	AF7229455	CALIFORNIA	No
3	207YX0602X	Otolaryngology	Otolaryngic Allergy	AF7229455	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G305900	MEDICAID	CALIFORNIA
2	W11893	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	A44476	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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