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

Ethan Thomas Yarbrough

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063109585

Ethan Thomas Yarbrough is a Hospitalist in San Bernardino, California. Qualified in 2023, 3 years ago. Licensed in Montana.

Years since qualifying
3
Licensed in
MT
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (559) 393-3165
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MED-PHYS-LIC-169845 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063109585
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Bernardino