DR. SIDNEY MARK FISHMAN (NPI# 1417953043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953043 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY MARK FISHMAN |
| Credential | MD |
| Practice Address |
3801 Katella Ave Ste 425 Los Alamitos CA 90720-6901 |
| Practice Telephone | 5625962925 |
| Practice Fax Number | 5625965703 |
| Mailing Telephone | 5625962925 |
| Mailing Fax Number | 5625965703 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2010-04-27 |
| NPI Deactivation Date | 04/04/2006 |
| NPI Reactivation Date | 2006-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
AF7229455 | CA | Allopathic & Osteopathic Physicians |
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
AF7229455 | CA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
AF7229455 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G305900 | 05 |
| Street Address |
3801 KATELLA AVE STE 425 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687319 | Robert Glenn Pugach | Specialist | 3801 Katella Ave, Ste 110, Los Alamitos, CA 90720-3371 | 2005-05-27 |
| 1376928077 | Wu Pediatrics Corp | Pediatrics | 3801 Katella Ave, Suite 221, Los Alamitos, CA 90720-3338 | 2015-07-23 |
| 1649676891 | Ali Alex Fouladi Md Inc | Surgery | 3801 Katella Ave, Suite 402, Los Alamitos, CA 90720-3338 | 2014-11-17 |
| 1215331269 | Mitch Bovy | Optometrist | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-10-20 |
| 1972919678 | Los Alamitos Ob-gyn Medical Group, Inc | Obstetrics & Gynecology | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-07-02 |
| 1134569429 | Abolhoda Md, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720-3338 | 2013-07-01 |
| 1750632253 | Evans Phung Tran | Physician Assistant | 3801 Katella Ave, Suite 110, Los Alamitos, CA 90720-3338 | 2012-09-24 |
| 1720338015 | Tina M Morris | Physician Assistant | 3801 Katella Ave, Ste. 101, Los Alamitos, CA 90720-3338 | 2012-09-13 |
| 1023379757 | Ayla Munawar | Pediatrics | 3801 Katella Ave, Ste 221, Los Alamitos, CA 90720-3338 | 2012-05-29 |
| 1912267774 | Lori A Hallett Audiology PC | Audiologist-Hearing Aid Fitter | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665415 | Faculty Physicians and Surgeons of Llusm | Otolaryngology | 4646 Brockton Ave Ste 103, Riverside, CA 92506-0103 | 2020-07-06 |
| 1053705228 | Beverly Hills Wellness Physicians Corp | Otolaryngology | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2015-03-25 |
| 1205181427 | Walter Edwin Arute | Otolaryngology | 1945 Discovery Village Ln, Gold River, CA 95670-3063 | 2012-07-14 |
| 1750588257 | Voice Institute of Beverly Hills A Medical Corporation | Otolaryngology | 8500 Wilshire Blvd Ste 908, Beverly Hills, CA 90211-3107 | 2007-06-28 |
| 1508916651 | The Family-centered Ear, Nose, Throat Group | Otolaryngology | 18181 Butterfield Blvd Ste 180, Morgan Hill, CA 95037-8112 | 2007-01-11 |
| 1659394419 | Quoc Ai Nguyen | Otolaryngology | 13362 Brookhurst St, Garden Grove, CA 92843-3153 | 2006-07-25 |
| 1164440822 | Daniel Joseph Schlund | Otolaryngology | 125 Mall Dr, Ste 307, Hanford, CA 93230-5794 | 2006-07-18 |
| 1942244108 | Donald Wilkes Burt Jr. | Otolaryngology | 18181 Butterfield Blvd Ste 120, Morgan Hill, CA 95037-8108 | 2006-06-16 |
| 1205804747 | Darrell Herbert Hunsaker | Otolaryngology | 5121 San Aquario Dr, San Diego, CA 92109-1511 | 2006-03-10 |
| 1043212376 | Ear Nose and Throat Medical Clinic Inc | Otolaryngology | 1050 Las Tablas Rd, Templeton, CA 93465-9729 | 2005-05-31 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.