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

Michael K Fairbanks DPM a Professional Corporation

Organization Podiatrist · NPI 1629358411

Michael K Fairbanks DPM a Professional Corporation is a Podiatrist 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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