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MICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION
NPI 1629358411
Podiatrist in San Dimas, CA

Active since August 24, 2011
425 W BONITA AVE, SUITE 110, SAN DIMAS, CA 91773(909) 599-0981(909) 592-0738 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael K Fairbanks Dpm A Professional Corporation NPPES

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

MICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION (NPI 1629358411) is a healthcare organization registered as a podiatrist in San Dimas, California and active in the NPI registry since August 2011. The organization lists Michael K Fairbanks, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1629358411
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION
Location Address425 W BONITA AVE, SUITE 110San Dimas, CA 91773-2541
Mailing Address7750 Eastridge DrLa Mesa, CA 91941-7882 · (619) 465-4972
Phone(909) 599-0981
Fax(909) 592-0738
Organization SubpartNo
Authorized OfficialMichael K FairbanksSole Owner · (619) 465-4972
Enumeration DateAugust 24, 2011
Last NPPES UpdateNovember 9, 2016
✔ NPI 1629358411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E2726
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
425 W BONITA AVE, San Dimas, CA 91773
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Other Identifiers 1

Medicare PINFO661ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MELISSA ZHAO O.D.
Optometrist
425 W BONITA AVE
SAN DIMAS, CA 91773
Los Angeles County (909) 394-0462
DEBORAH ANNE BOWSER MFT
Marriage & Family Therapist
425 W BONITA AVE, SUITE 204
SAN DIMAS, CA 91773
Los Angeles County (909) 592-4431
ALYSSA VALENZUELA OD
Optometrist
425 W BONITA AVE
SAN DIMAS, CA 91773
Los Angeles County (909) 394-0462
SPECTRUM EYECARE OPTOMETRY INC
Optometrist
425 W BONITA AVE, SUITE 110B
SAN DIMAS, CA 91773
Los Angeles County (909) 394-0462
JODI ELSON PETERSON MA, LMFT
Marriage & Family Therapist
425 W BONITA AVE, SUITE 204
SAN DIMAS, CA 91773
Los Angeles County (951) 818-8665
DR. DAVID ASHLEY SWEARINGEN OD
Optometrist
425 W BONITA AVE, SUITE 110B
SAN DIMAS, CA 91773
Los Angeles County (909) 394-0462
WILLIAM H TABB DPM
Podiatrist
425 W BONITA AVE, 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981

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 Michael K Fairbanks Dpm A Professional Corporation's NPI number?

The NPI number for Michael K Fairbanks Dpm A Professional Corporation is 1629358411. It was assigned to this organization in the NPPES registry on August 24, 2011.

Where is Michael K Fairbanks Dpm A Professional Corporation located?

Michael K Fairbanks Dpm A Professional Corporation is located at 425 W Bonita Ave Suite 110, San Dimas, CA 91773. The listed phone number is (909) 599-0981.

What is Michael K Fairbanks Dpm A Professional Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Michael K Fairbanks Dpm A Professional Corporation was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.