FAIRCHILD MEDICAL GROUP
NPI 1063588895
Family Medicine in Yreka, CA
About Fairchild Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRCHILD MEDICAL GROUP (NPI 1063588895) is a healthcare organization registered as a family medicine in Yreka, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Steven Maron, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0618549
Fairchild Medical Clinic · Yreka, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fairchild Medical Group's NPI number?
The NPI number for Fairchild Medical Group is 1063588895. It was assigned to this organization in the NPPES registry on November 24, 2006.
Where is Fairchild Medical Group located?
Fairchild Medical Group is located at 475 Bruce St Ste 500, Yreka, CA 96097. The listed phone number is (530) 842-3507.
What is Fairchild Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Fairchild Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0618549) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fairchild Medical Group was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Fairchild Medical Group · NPI 1063588895
Family Medicine organization in Yreka, California. Organization record, active in the CMS NPPES registry since November 24, 2006.
## Identity
- **NPI:** 1063588895 (Entity type: Organization)
- **Enumerated:** November 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Steven Maron, PRESIDENT
## Practice location
- **Address:** 475 BRUCE ST STE 500, Yreka, CA 96097-3463
- **Phone:** (530) 842-3507
## Record status
- **NPPES last updated:** March 12, 2008
- **Other identifiers:** Medicare OSCAR/certification 553972 (CA); Other ZZZ03208Z (CA); Medicaid GR0089870 (CA); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063588895) · Data from the CMS NPPES public registry.