DR. SIDNEY MARK FISHMAN MD NPI 1417953043

NPI Information

  • NPI: 1417953043
  • Provider Name: DR. SIDNEY MARK FISHMAN, MD
  • Classification: Otolaryngology - 207YX0602X
  • Specialization: Otolaryngic Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 KATELLA AVE
    STE 425
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 596-2925

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NPI Details

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
1207YP0228XOtolaryngologyPediatric OtolaryngologyAF7229455CALIFORNIANo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryAF7229455CALIFORNIANo
3207YX0602XOtolaryngologyOtolaryngic AllergyAF7229455CALIFORNIAYes

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 Other Provider Identifier Issuer
100G305900MEDICAIDCALIFORNIA
2W11893MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3A44476MEDICARE UPINCALIFORNIA

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: 11/21/2025

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