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

Philip Thomas Farabaugh, MD

Individual provider Family Medicine Physician · NPI 1285763615

Philip Thomas Farabaugh, MD is a Family Practice in Grand Terrace, California. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1997, 29 years ago. Practices with Riverside-San Bernardino County Indian Health Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone: (909) 864-1097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C55939 (CA)

Record details

NPI number1285763615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1997 (29 years in practice)
Group practice Riverside-San Bernardino County Indian Health Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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