Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michael K Fairbanks DPM a Professional Corporation

Organization Podiatrist · NPI 1629358411

Michael K Fairbanks DPM a Professional Corporation provides Podiatrist services in San Dimas, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2541
Phone: (909) 599-0981
Fax: (909) 592-0738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E2726 (CA)

Record details

NPI number1629358411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fairbanks — Sole Owner · (619) 465-4972
NPI enumeratedAugust 24, 2011
Last updated in NPPESNovember 9, 2016
Mailing address7750 Eastridge Dr, La Mesa, CA 91941-7882

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