JAY F. FAIRBORN MD
NPI 1265582076
Family Medicine in San Rafael, CA
About Jay F. Fairborn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY F. FAIRBORN MD (NPI 1265582076) is an individual family medicine provider in San Rafael, California, licensed in California (A67589) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Hahneman Medical College Of The Pacific (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jay F. Fairborn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94903
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 Jay Fairborn's NPI number?
The NPI number for Jay Fairborn is 1265582076. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Jay Fairborn located?
Jay Fairborn practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.
What is Jay Fairborn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jay Fairborn enrolled in Medicare?
Yes. Jay Fairborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jay Fairborn was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jay F. Fairborn, MD · NPI 1265582076
Family Medicine physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1265582076 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A67589 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 MONTECILLO RD, San Rafael, CA 94903-3308
- **Phone:** (415) 444-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Hahneman Medical College Of The Pacific, class of 1997
## Record status
- **NPPES last updated:** December 13, 2021
- **Other identifiers:** Medicaid 00A675890 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265582076) · Data from the CMS NPPES public registry.