Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tara Fairbanks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750781118

Dr. Tara Fairbanks is a Student in an Organized Health Care Education/Training Program in Santa Monica, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Santa Monica, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 — (818) 896-1161

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 32174 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750781118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020

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