DAVID FAIRBANKS PMHNP-BC
NPI 1104752823
Nurse Practitioner - Psychiatric/Mental Health in Chino, CA

Active since June 22, 2026
4390 HEATHER CIR, CHINO, CA 91710(909) 203-3184 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Fairbanks Pmhnp-bc NPPES

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

DAVID FAIRBANKS PMHNP-BC (NPI 1104752823) is an individual psychiatric/mental health provider in Chino, California, licensed in California (95040098) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104752823
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID FAIRBANKSCredential: PMHNP-BC
Location Address4390 HEATHER CIRChino, CA 91710-5019
Mailing Address4390 Heather CirChino, CA 91710-5019 · (909) 203-3184
Sole ProprietorYes
Enumeration DateJune 22, 2026
NPPES CertifiedJune 21, 2026
NPI 1104752823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95040098
4390 HEATHER CIR, Chino, CA 91710

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 David Fairbanks's NPI number?

The NPI number for David Fairbanks is 1104752823. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is David Fairbanks located?

David Fairbanks practices at 4390 Heather Cir, Chino, CA 91710. The listed phone number is (909) 203-3184.

What is David Fairbanks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for David Fairbanks was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.