DR. PATRICK DANIEL FAIRCHILD (NPI# 1205991098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205991098 |
| Entity Type | Individual |
| Full Name | DR. PATRICK DANIEL FAIRCHILD |
| Credential | DC |
| Practice Address |
23890 Alessandro Blvd Suite F Moreno Valley CA 82553 |
| Mailing Address |
Po Box 9381 Moreno Valley CA 92552 |
| Practice Telephone | 9516561413 |
| Practice Fax Number | 9516567724 |
| Mailing Telephone | 9516561413 |
| Mailing Fax Number | 9516567724 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14022 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | XRAY OPERATOR LICENSE | RHC040171 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255389557 | Patrick G Fairchild | Internal Medicine | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 | 2006-05-05 |
| Street Address |
23890 ALESSANDRO BLVD SUITE F |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 82553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1538769716 | Kathia Nava | Behavior Technician | 11617 Mccully Ct, Moreno Valley, CA 92557-7910 | 2020-10-28 |
| 1609476647 | Corie Zenobia Rideau | Dental Assistant | 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 | 2020-10-28 |
| 1851999718 | La Creasure White | Nurse Practitioner | 10271 Prospector Ln, Moreno Valley, CA 92557-4238 | 2020-10-13 |
| 1336747294 | Brittany Stewart | Physician Assistant | 12797 Frederick St Apt 202, Moreno Valley, CA 92553-4512 | 2020-10-13 |
| 1922605286 | Genesis Ivana Quintero | Behavior Technician | 24342 Kurt Ct, Moreno Valley, CA 92551-3658 | 2020-10-08 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| Find all providers in MORENO VALLEY | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1376852251 | Chang Cho Chung | Chiropractor | 24578 Sunnymead Bl., # C/d, Moreno Valley, CA 92553 | 2010-09-27 |
| 1598927378 | Ronald Soriano | Chiropractor | 11365 Quincy St, Moreno Valley, CA 92555-6586 | 2008-07-02 |
| 1821269440 | Carla Asante Mcmorris | Chiropractor | 24580 Sunnymead Blvd, H, Moreno Valley, CA 92553-3761 | 2008-03-23 |
| 1407998149 | Kanak D. Patel | Chiropractor | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2007-02-12 |
| 1962543504 | Sam Putres Khumooro | Chiropractor | 23080 Alessandro Blvd Ste 204, Moreno Valley, CA 92553-9674 | 2007-02-08 |
| 1720135122 | Derick J Lajom | Chiropractor | 23750 Alessandro Blvd Ste I102, Moreno Valley, CA 92553-8815 | 2007-01-05 |
| 1083784870 | Norman E Corlew | Chiropractor | 23890 Alessandro Blvd, Suite F, Moreno Valley, CA 92553-0312 | 2006-11-08 |
| 1780768200 | Christina Burkhardt | Chiropractor | 25400 Alessandro Blvd, 102, Moreno Valley, CA 92553-4319 | 2006-10-24 |
| 1063500890 | Berinson Chiropractic Inc | Chiropractor | 24578 Sunnymead Blvd, Suite C & D, Moreno Valley, CA 92553 | 2006-10-10 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 82553 |
Please comment or provide details below to improve the information on DR. PATRICK DANIEL FAIRCHILD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.