What is Paul Fedorenko's NPI number?

Paul Fedorenko's National Provider Identifier (NPI) is 1538407903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Paul Fedorenko's specialty?

Paul Fedorenko is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Paul Fedorenko located?

Paul Fedorenko's practice location on file with NPPES is 2204 W Capitol Ave, West Sacramento, CA 95691-2425.

What is Paul Fedorenko's phone number?

The practice phone number listed in the NPPES registry for Paul Fedorenko is (916) 572-0811.

Is Paul Fedorenko's NPI active?

Yes — Paul Fedorenko's NPI (1538407903) is active in the NPPES registry as of the last update on 2013-01-19.

IndividualActive

Paul Fedorenko

NPI 1538407903 · Specialist · West Sacramento, CA

Paul Fedorenko is a Specialist provider in West Sacramento, CA (NPI 1538407903).

Provider details

NPI number: 1538407903
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 14279 (CA)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 14279 (CA)
Other Service Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2204 W Capitol Ave

West Sacramento, CA 95691-2425

Phone: (916) 572-0811

Fax: (916) 572-0813

Street-level locationGet directions

More CA providers

Mailing address