STEVEN NATHANIEL FAIRBANKS (NPI# 1851778187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851778187 |
Entity Type | Individual |
Full Name | STEVEN NATHANIEL FAIRBANKS |
Credential | DPM |
Practice Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
Practice Telephone | 6195240146 |
Mailing Telephone | 6195240146 |
Enumeration Date | 2015-05-06 |
Last Update Date | 2018-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD-000917 | AZ | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013381649 | Steven Fairbanks | Physical Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2015-11-19 |
Street Address |
34800 BOB WILSON DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92134-1098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245235134 | Willie S Chao | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-06-16 |
1023625571 | Samantha Savite | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-29 |
1588270326 | Angelina Yvette Harris | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-17 |
1275149296 | Alexa Werner | Physical Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-16 |
1376157164 | Toure Marlow Hinton | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
1316550106 | John K Housinga | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
1073126249 | Alfredo Carrillo | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-27 |
1326651647 | Daniel Adan Denge | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
1275146664 | Zachariah Jacob Charles Boydsnee | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
1245843820 | Nikole Lanchares | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
Find all providers in zip 92134 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.