MR. PAUL FEDORENKO
NPI 1538407903
Specialist in West Sacramento, CA

Q: What is Paul Fedorenko's NPI number?

The NPI number for Paul Fedorenko is 1538407903. It was assigned to this individual provider in the NPPES registry on January 19, 2013.

Q: What is Paul Fedorenko's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Fedorenko was last updated on January 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2013

2204 W CAPITOL AVE, WEST SACRAMENTO, CA 95691(916) 572-0811(916) 572-0813 Get Directions Write a Review

NPPES record last updated: January 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Paul Fedorenko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL FEDORENKO (NPI 1538407903) is an individual specialist in West Sacramento, California, licensed in California (14279) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1538407903

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. PAUL FEDORENKO

Location Address2204 W CAPITOL AVEWest Sacramento, CA 95691-2425

Mailing Address2204 W Capitol AveWest Sacramento, CA 95691-2425 · (916) 572-0811 · Fax (916) 572-0813

Phone(916) 572-0811

Fax(916) 572-0813

Sole ProprietorYes

Enumeration DateJanuary 19, 2013

✔ NPI 1538407903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 14279

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2204 W CAPITOL AVE, West Sacramento, CA 95691

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY'S MEDICAL INC

Durable Medical Equipment & Medical Supplies

2204 W CAPITOL AVE
WEST SACRAMENTO, CA 95691

Yolo County (916) 374-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Fedorenko's NPI number?

The NPI number for Paul Fedorenko is 1538407903. It was assigned to this individual provider in the NPPES registry on January 19, 2013.

Where is Paul Fedorenko located?

Paul Fedorenko practices at 2204 W Capitol Ave, West Sacramento, CA 95691. The listed phone number is (916) 572-0811.

What is Paul Fedorenko's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Paul Fedorenko was last updated on January 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.