Andrey Ivanovich Sidorenko, PA-C, DMSC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

21131 Issued in CA

Practice address

2615 E Clinton Ave
Fresno, CA 93703-2223

Phone

(559) 225-6100

NPI assigned

Aug 25, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Schooner Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Porterville, CA
  • NPI 1205035581

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1548576754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 467 BOX 5991",
            "city": "APO",
            "state": "AE",
            "postal_code": "090961060",
            "telephone_number": "559-709-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-225-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDORENKO",
        "first_name": "ANDREY",
        "middle_name": "IVANOVICH",
        "credential": "PA-C, DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIUM URGENT CARE GRP PTAN",
            "identifier": "CA109622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahejpreet Kaur Sidhu
• Satinderpal Singh Sidhu, MD
• Satpal Singh Sidhu
• Sukhampal Singh Sidhu, M.D.
• Marti Ann Sidoli-Tanner, RDH, RDHAP
• Dominique Julianna Sidoti
• Andrew Anthony Siegel
• William Lowell Siegfried, M.D.
• Kathryn Anne Siemens, D.D.S.
• Mary Catherine Siemens, MA

• Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.